NPIMap

Individual provider Active NPI

Bethany Varel

  • Nurse Practitioner
  • O Fallon, IL
National Provider Identifier
1538617402
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.014684 Issued in IL
Practice address
320 E Highway 50
O Fallon, IL 62269
Phone
(618) 624-3368
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.014684 IL
Nurse Practitioner 363L00000X 209.014684 IL Primary

Addresses

Primary practice location

320 E Highway 50
O Fallon, IL 62269

Mailing address

320 E Highway 50
O Fallon, IL 62269-2704
Phone (618) 624-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001261 IL Practitioner - Nurse Practitioner 1456632983 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gerio Primary Care PCGroup PAC ID 0749640969, 13 clinicians

Practice addresses (Care Compare)

291 E 2ND St
Beckemeyer, IL 62219-4202
Phone (618) 484-9030

705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.014684ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Good Samaritan, Inc CurrentSince Jul 21, 2018 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc CurrentSince Nov 16, 2016 Accepting new patients
Vituity - Illinois Auc LLP Current Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Washington County Hospital District CurrentSince Aug 1, 2019 Accepting new patients
Washington County Hospital District CurrentSince Aug 1, 2019 Accepting new patients
Midwest Emergency Sparta, Inc CurrentSince Jan 3, 2017 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jun 1, 2018 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Jun 1, 2018 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jun 1, 2018 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

320 E Highway 50
O Fallon, IL 62269
Phone (618) 624-3368

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

Interoperability endpoints

  • Direct secure messaging: bmonteiro188121@direct-ehr-ssmhc.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1538617402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692704",
            "telephone_number": "618-624-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-624-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAREL",
        "first_name": "BETHANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014684",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.014684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.