Active NPI
Bethany Naugle, PA-C
- Medical Physician Assistant
- Sarasota, FL
National Provider Identifier
1750742136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9110483
- Practice address
- 943 S Beneva Rd Ste 306
Sarasota, FL 34232-2473 - Phone
- (941) 362-8644
- Fax
- (941) 954-4440
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MN6169177 | FL | |
| Medical Physician Assistant | 363AM0700X | MA058138 | PA | |
| Medical Physician Assistant | 363AM0700X | PA9110483 | FL | Primary |
Addresses
Primary practice location
943 S Beneva Rd Ste 306
Sarasota, FL 34232-2473
Mailing address
943 S Beneva Rd Ste 306
Sarasota, FL 34232-2473
Phone (941) 362-8644
Other practice location 1
1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-1100
Hospital & facility affiliations
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN6169177 | FL | MD | Physician Assistant |
| PA9110483 | FL | MD | Medical Physician Assistant |
| MA058138 | PA | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1699456186
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750742136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 S BENEVA RD STE 306",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322473",
"telephone_number": "941-362-8644",
"fax_number": "941-954-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 S BENEVA RD STE 306",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322473",
"telephone_number": "941-362-8644",
"fax_number": "941-954-4440"
}
],
"practiceLocations": [
{
"address_1": "1163 Country Club Rd",
"address_purpose": "LOCATION",
"city": "Monongahela",
"state": "PA",
"postal_code": "150631013",
"country_code": "US",
"telephone_number": "724-258-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAUGLE",
"first_name": "BETHANY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2022-07-21",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "MN6169177",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA058138",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9110483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.