Individual provider Active NPI

Steven Ray Betteridge II, NP-C

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1659870350
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9365276 Issued in FL
Practice address
4710 S Florida Ave
Lakeland, FL 33813
Phone
(863) 284-5000
Fax
(863) 284-6824
NPI assigned
Feb 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 9365276 FL Primary

Addresses

Primary practice location

4710 S Florida Ave
Lakeland, FL 33813

Mailing address

1324 Lakeland Hills Blvd.
Attn: Managed Care Dept.
Lakeland, FL 33805

Other practice location 1

17929 Hunting Bow Cir
Lutz, FL 33558-5378
Phone (813) 792-8555

Other practice location 2

2815 Lakeland Hills Blvd
Lakeland, FL 33805-2224
Phone (863) 284-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180823002263 FL Practitioner - Nurse Practitioner 6204185234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

4710 S Florida Ave
Lakeland, FL 33813-2165
Phone (863) 284-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
64.08
Promoting interoperability
98
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9365276FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Bond Urgent Care LLC CurrentSince Mar 28, 2020 Accepting new patients
Bond Clinic PA Past Accepting new patients
Your Family Walk-in Clinic LLC PastSince Jun 2, 2014 Accepting new patients
Lakeland Regional Health Systems, Inc. Past Accepting new patients

Locations

4710 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-6800

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2815 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 284-6900

325 1st St N
Winter Haven, FL 33881

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: steven.betteridge.p1@direct.bondclinicpa.nextgenshare.com

Organizations & group practices 5

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 1

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1659870350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD.",
            "address_2": "ATTN: MANAGED CARE DEPT.",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "863-284-5000",
            "fax_number": "863-284-6824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17929 Hunting Bow Cir",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335585378",
            "country_code": "US",
            "telephone_number": "813-792-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2815 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052224",
            "country_code": "US",
            "telephone_number": "863-284-5000",
            "fax_number": "863-284-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTERIDGE",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9365276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.