Bethany Faye Sullivan, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3015099 Issued in KY

Practice address

4760 New Lebanon Rd
Campbellsville, KY 42718-9246

Phone

(270) 299-6010

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Merit-based Incentive Payment System (MIPS)

Final score

73.96 of 100Reported as group

Quality

62.41

Promoting interoperability

69

Improvement activities

40

Cost

71.3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Taylor Regional Medical Group LLC

  dba Taylor Regional Hospital Health Clinic

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1073370185

  Family

  Medicare reassignment NPD
• Taylor Regional Medical Group, LLC

  dba Taylor Regional Hospital Care Center

  • Family Medicine Physician
  • Campbellsville, KY
  • NPI 1699030031
  Medicare reassignment NPD
• Taylor Regional Medical Group,LLC

  dba Taylor Regional Women for Women

  • Obstetrics & Gynecology Physician
  • Campbellsville, KY
  • NPI 1174697601
  Medicare reassignment NPD
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment
• Taylor Regional Medical Group, LLC

  dba Taylor Regional Pediatrics

  • Pediatrics Physician
  • Campbellsville, KY
  • NPI 1649720699

  Family

  NPD
• Taylor Regional Medical Group

  dba Taylor Regional Teleradiography Group

  • Diagnostic Radiology Physician
  • Campbellsville, KY
  • NPI 1306850052
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942
  Care Compare affiliation

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1437756012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 NEW LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 NEW LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189246",
            "telephone_number": "270-299-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BETHANY",
        "middle_name": "FAYE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron D Stewart, M.D.
• Sara Elizabeth Stiles, APRN
• John C Stockton
• Margaret Strait, AUD
• Kendra Denise Sublett, MSN, APRN, FNP-C
• Sustainable Living Support Services, LLC
• Lora Dean Sztendera, M.D.
• Tess Tallent, OTR/L
• Taylor County Anesthesia PSC
• Taylor County Chiropractic and Rehabilitation LLC

• Family Nurse Practitioner in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.