Individual provider Active NPI

Bethanne Mills, LNP

  • School Registered Nurse
  • Lewes, DE
National Provider Identifier
1568619278
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
L1-0043357 Issued in DE
Practice address
9 Liszar Dr
Lewes, DE 19958-1252
Phone
(703) 785-0025
NPI assigned
Aug 25, 2008
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024167893 VA
School Registered Nurse 163WS0200X L1-0043357 DE Primary

Addresses

Primary practice location

9 Liszar Dr
Lewes, DE 19958-1252

Mailing address

9 Liszar Dr
Lewes, DE 19958-1252
Phone (703) 785-0025

Other names 1

  • Miss Bethanne Hogg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20140303001303 DE Practitioner - Nurse Practitioner 8224197249 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167893VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milton Enterprises, Inc CurrentSince Oct 23, 2017 Accepting new patients
Delaware Hospice, Inc CurrentSince Oct 1, 2015 Accepting new patients

Locations

16529 Coastal Hwy
Lewes, DE 19958
Phone (302) 644-7788

630 Churchmans Rd
Ste 200
Newark, DE 19702
Phone (302) 478-5707

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1568619278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LISZAR DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581252",
            "telephone_number": "703-785-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LISZAR DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581252",
            "telephone_number": "703-785-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BETHANNE",
        "name_prefix": "Mrs.",
        "credential": "LNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024167893",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L1-0043357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANNE",
            "last_name": "HOGG",
            "prefix": "MISS",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.