Bethany J Stevens, ARNP

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

A108954 Issued in IA

Practice address

901 Montgomery St
Decorah, IA 52101-2325

Phone

(563) 382-2911

Fax

(563) 382-1507

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bstevens248418@uihcdirect.org

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.

• Delaware County Memorial Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Winneshiek Medical Center

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1619922051
  Medicare reassignment NPD
• Winneshiek Medical Center

  • Multi-Specialty Clinic/Center
  • Decorah, IA
  • NPI 1992854863
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD
• Winneshiek Medical Center

  • Community/Retail Pharmacy
  • Decorah, IA
  • NPI 1104507060
  NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1598969701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-332-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-382-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 W Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507014543",
            "country_code": "US",
            "telephone_number": "319-833-5700",
            "fax_number": "319-833-5740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 1st St E",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "IA",
            "postal_code": "506443155",
            "country_code": "US",
            "telephone_number": "319-332-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BETHANY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "108954",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IA",
            "license": "A108954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00469843",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjstevens@bchealth.org",
            "affiliation": "N",
            "endpointDescription": "Buchanan County Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1600 1st St E",
            "city": "Independence",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506443155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stevensbj@winmedical.org",
            "affiliation": "N",
            "endpointDescription": "Winneshiek Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "901 Montgomery St",
            "city": "Decorah",
            "state": "IA",
            "country_code": "US",
            "postal_code": "521012325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Spectrum Industries
• Joe David Starke, M.D.
• Jessica Sara Starner, ATC, CSCS
• Erika Steele, LMSW
• Jenny L Stegen, PA
• Ryan S Stever, M.D.
• Ian J Stock, DO
• Samantha Lee Storts, DO
• Craig P Sullivan, DPM
• Eric William Svestka, M.D.

• Wound Care Registered Nurse in Decorah, IA
• Providers in Decorah, IA by specialty
• Wound Care Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.