Bethany Jeanette Foss

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2014019792 Issued in MO

Practice address

213B W Mason St
Odessa, MO 64076-1262

Phone

(816) 339-5526

Fax

(816) 207-0558

NPI assigned

Apr 22, 2019

Sex

Female

Sole proprietor

No

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.

• Gen 3 IV Hydration and Wellness

  • Primary Care Clinic/Center
  • Kansas City, MO
  • NPI 1598572059
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2025.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1548823966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213B W MASON ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761262",
            "telephone_number": "816-339-5526",
            "fax_number": "816-207-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213B W MASON ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761262",
            "telephone_number": "816-339-5526",
            "fax_number": "816-207-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "BETHANY",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014019792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Embrace Orthodontics LLC
• Makenzie Evinger
• Danielle Fera, LPC, MS
• Jalaine R Fishell, MA
• Kellee D Flynn, COTA
• Nancy Joyce Fry, O.D.
• Samantha Graham
• Mackenzie Layne Greis, PT, DPT
• Jerry L Haney, DDS
• Anita R Harris, LPC

• All providers in Odessa, MO
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.