Bethany McClean, RN, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP104951 Issued in TX

Practice address

1501 Mitchell Blvd
Fort Worth, TX 76105-2263

Phone

(817) 920-6600

Fax

(817) 920-6632

NPI assigned

Mar 16, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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, Registered Nurse

State licenses

Practice roles

Locations

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1548999451
  Medicare reassignment NPD
• Pediatric Urgent Care PA

  • Urgent Care Clinic/Center
  • The Woodlands, TX
  • NPI 1598059776
  Medicare reassignment NPD
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1033972716
  NPD
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1437888377
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1639148190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ARBROOK BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143240",
            "telephone_number": "682-867-1500",
            "fax_number": "817-419-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MITCHELL BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761052263",
            "telephone_number": "817-920-6600",
            "fax_number": "817-920-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEAN",
        "first_name": "BETHANY",
        "credential": "RN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "252859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP104951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091872404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin McCauley, MSN, FNP-C
• Scott McCauley, DPT, ECS
• Erin Alyse McCausland, SLP
• Timothy Lee McCavit, MD
• John Byron McClain Sr., M.D.
• Susen Deanne McCleery-Derrick, FNP
• Mary Margaret McClelen, DNP, FNP-C
• Jennifer E McCliment, AUD
• Nichole McCloy, RN, IBCLC
• Charles Forrer Anderson McCluer III, D.D.S.

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.