Individual provider Active NPI

Beth Ann Bretz, C.R.N.P.

  • Family Nurse Practitioner
  • Mt Pleasant, PA
National Provider Identifier
1376969600
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013729 Issued in PA
Practice address
1 Braddock Road Ave
Suite a
Mt Pleasant, PA 15666-1458
Phone
(724) 547-4565
Fax
(724) 547-5811
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013729 PA Primary

Addresses

Primary practice location

1 Braddock Road Ave
Suite a
Mt Pleasant, PA 15666-1458

Mailing address

1 Braddock Road Ave
Suite a
Mt Pleasant, PA 15666-1458
Phone (724) 547-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519001293 PA Practitioner - Nurse Practitioner 1951524099 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1376969600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRADDOCK ROAD AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661458",
            "telephone_number": "724-547-4565",
            "fax_number": "724-547-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRADDOCK ROAD AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661458",
            "telephone_number": "724-547-4565",
            "fax_number": "724-547-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.