Bethany Marie Mistone
Individual provider Active NPI Family Medicine Physician · Woonsocket, RI
NPI 1477094936 · NPPES record last updated Nov 8, 2025
Key facts
- NPI
- 1477094936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 95009462 (CA)
- Practice address
- 1 CVS Dr
Woonsocket, RI 02895-6146 - Phone
- (866) 389-2727
- NPI assigned
- Mar 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Minuteclinic Diagnostic Medical Group of California Inc
Minuteclinic Diagnostic Medical Group of San Diego Inc
Practice addresses (Care Compare)
1401 S Baldwin Ave
Arcadia, CA 91007-7922
Phone (866) 389-2727
2760 Fletcher Pkwy
El Cajon, CA 92020-2110
Phone (866) 389-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in OH, CA, HI, UT, NM, IL, MN
- 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 |
|---|---|---|---|---|
| I20170411002480 | OH | Practitioner - Nurse Practitioner | 1658657317 | Reassigns benefits to 1 organization |
| I20191028001001 | CA | Practitioner - Nurse Practitioner | 1658657317 | Reassigns benefits to 3 organizations |
| I20221101003144 | HI | Practitioner - Nurse Practitioner | 1658657317 | Reassigns benefits to 1 organization |
| I20221102000751 | UT | Practitioner - Nurse Practitioner | 1658657317 | Reassigns benefits to 1 organization |
| I20230413001344 | NM | Practitioner - Nurse Practitioner | 1658657317 | Reassigns benefits to 1 organization |
| I20230523003355 | IL | Practitioner - Nurse Practitioner | 1658657317 | Reassigns benefits to 1 organization |
| I20230804000495 | MN | Practitioner - Nurse Practitioner | 1658657317 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195250 | AK | MD | Family Medicine Physician |
| APRN-3697-0 | HI | MD | Family Medicine Physician |
| 277.003876 | IL | MD | Family Medicine Physician |
| 2025025397 | MO | MD | Family Medicine Physician |
| 195610 | MT | MD | Family Medicine Physician |
| APRN-68260 | NM | MD | Family Medicine Physician |
| 020650 | OH | MD | Family Medicine Physician |
| 202211540NP-PP | OR | MD | Family Medicine Physician |
| 12788908 | UT | MD | Family Medicine Physician |
Practice roles (10 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of New Mexico, LLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic Medical Group of California Inc | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Washington, PLLC | Family | Current |
Accepting new patients |
| Minuteclinic Video Virtual Care North, LLC | Family Medicine | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Utah, LLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Minnesota, P.a. | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic Medical Group of San Diego Inc | Family Medicine | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Ohio LLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic Medical Group of Orange County Inc | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Hawaii, L.L.C. | Family | Current |
Accepting new patients |
Locations
1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210
1150 Baker St
Costa Mesa, CA 92626
Phone (714) 622-7517
2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221
775 E Foothill Blvd
Pomona, CA 91767
Phone 9096216708 ext. 8221
1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834
921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473
33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154
4235 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 373-6847
2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221
98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500
45-480 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 235-0885
11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221
4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041
1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000
9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167
4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599
4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407
710 N Main St
Springboro, OH 45066
Phone (888) 389-2727
1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669
7777 S Redwood Rd
West Jordan, UT 84084
Phone (801) 255-9077
11918 Airport Rd
Everett, WA 98204
Phone (425) 353-7687
33520 21st Ave SW
Federal Way, WA 98023
Phone (253) 838-1611
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN-68260 | NM | |
| Family Medicine Physician | 207Q00000X | 195250 | AK | |
| Family Medicine Physician | 207Q00000X | 195610 | MT | |
| Family Medicine Physician | 207Q00000X | APRN-3697-0 | HI | |
| Family Medicine Physician | 207Q00000X | 202211540NP-PP | OR | |
| Family Medicine Physician | 207Q00000X | 277.003876 | IL | |
| Family Medicine Physician | 207Q00000X | 2025025397 | MO | |
| Family Medicine Physician | 207Q00000X | 281309 | AZ | |
| Family Medicine Physician | 207Q00000X | 12788908 | UT | |
| Family Medicine Physician | 207Q00000X | 95009462 | CA | Yes |
| Family Medicine Physician | 207Q00000X | 020650 | OH | |
| Family Medicine Physician | 207Q00000X | 10333 | MN | |
| Family Medicine Physician | 207Q00000X | AP61313022 | WA |
Addresses
Primary practice location
1 CVS Dr
Woonsocket, RI 02895-6146
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone (866) 389-2727
Other practice location 1
4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727
Other practice location 2
33205 Temecula Pkwy
Temecula, CA 92592-9142
Phone (866) 389-2727
Other providers in Woonsocket, RI
- Minuteclinic Video Virtual Care, PLLC
- Minuteclinic Video Virtual Care, PLLC
- Minuteclinic Video Virtual Care, PLLC
- Ana P Miranda
- Jerome L Missel
- Robert Misurelli
- Modern Medical Supplies
- Nida Mohamed
- Seyedeh Niloofar Mohammadi
- Kristy Moles
All providers in Woonsocket, RI · Family Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2025. 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.