Individual provider Active NPI

Bethany Williams, APRN

  • Family Nurse Practitioner
  • Maysville, KY
National Provider Identifier
1568038792
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016155 Issued in KY
Practice address
491 Tucker Dr
Maysville, KY 41056-9111
Phone
(606) 759-4852
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016155 KY Primary

Addresses

Primary practice location

491 Tucker Dr
Maysville, KY 41056-9111

Mailing address

991 Medical Park Dr Ste 207
Maysville, KY 41056-8728
Phone (606) 759-4852

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211015001353 KY Practitioner - Nurse Practitioner 0244638633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Smart PLCGroup PAC ID 4385879287, 2 clinicians

Practice addresses (Care Compare)

450 A Tucker Dr
Maysville, KY 41056-9110
Phone (606) 759-0339

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Smart PLC CurrentSince Oct 14, 2024 Accepting new patients
Meadowview Physician Practice LLC CurrentSince Jun 16, 2021 Accepting new patients
Meadowview Physician Practice, LLC Family Medicine Current Accepting new patients
Meadowview Physician Practice LLC CurrentSince Jun 16, 2021 Accepting new patients

Locations

450 Tucker Dr
#A
Maysville, KY 41056

991 Medical Park Dr
Ste 207
Maysville, KY 41056
Phone (606) 759-0556

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

450A Tucker Dr
Maysville, KY 41056
Phone (606) 759-0339

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

491 Tucker Dr
Maysville, KY 41056
Phone (606) 759-4005

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: bethany.williams.1@19475.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1568038792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR STE 207",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568728",
            "telephone_number": "606-759-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569111",
            "telephone_number": "606-759-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BETHANY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.