Natalie Ann Bethel
Individual provider Active NPI Family Nurse Practitioner · Columbia, MO
NPI 1447843263 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1447843263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2022030315 (MO)
- Practice address
- 601 W Business Loop 70 Ste 275
Columbia, MO 65203-2522 - Phone
- (573) 874-0008
- Fax
- (573) 875-5350
- NPI assigned
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SSM Medical Group Inc
Boone Physician Services LLC
Practice addresses (Care Compare)
18800 Schnucks Dr
Warrenton, MO 63383-1120
Phone (636) 456-3413
601 W Business Loop
70 Suite 275
Columbia, MO 65203-2522
Phone (573) 874-0008
Hospital & facility affiliations
- Boone Hospital Center
- SSM St Joseph Health Center
- SSM St Joseph Hospital West
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230923000561 | MO | Practitioner - Nurse Practitioner | 5698129732 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022030315 | MO | MD | Family Nurse Practitioner |
| 137501 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current |
Accepting new patients | |
| SSM Medical Group, Inc. | Current |
Accepting new patients | |
| SSM Medical Group Inc. | Current |
Accepting new patients |
Locations
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
900 W Nifong Blvd
Ste 100
Columbia, MO 65203
Phone (573) 815-6631
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
601 W Business Loop 70
Ste 275
Columbia, MO 65203
Phone (573) 874-0008
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
18800 Schnucks Dr
Warrenton, MO 63383
Phone (636) 456-3413
Interoperability endpoints
- nbethel138991@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 137501 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 2022030315 | MO | Yes |
Addresses
Primary practice location
601 W Business Loop 70 Ste 275
Columbia, MO 65203-2522
Mailing address
601 W Business Loop 70 Ste 275
Columbia, MO 65203-2522
Phone (573) 874-0008
Other practice location 1
900 W Nifong Blvd Ste 100
Columbia, MO 65203-4469
Phone (573) 815-6631
Other providers in Columbia, MO
- Christina Lynn Bersano
- Jacqueline Lea Beshears
- Marylin Besong
- Best Buy Homecare of Louisiana, Inc
- Edgar Eliel Betancourt Cortes
- Bette Fletcher PH.D. PC
- Eric D Bettis
- Nathan Lewis Beucke
- Samantha Jo Bevell
- David Q. Beversdorf
All providers in Columbia, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.