Bethany S Bia, APRN-FNP
Individual provider Active NPI Primary Care Nurse Practitioner · Checotah, OK
NPI 1770075764 · NPPES record last updated Jun 5, 2018
Key facts
- NPI
- 1770075764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 109224 (OK)
- Practice address
- 212 W Spaulding St
Checotah, OK 74426-2452 - Phone
- (918) 967-3368
- Fax
- (918) 967-4582
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Revitalize Health and Wellness LLC
Nextgen Sleep LLC
Practice addresses (Care Compare)
2801 Parklawn Dr
Suite 404
Midwest City, OK 73110-4211
Phone (405) 544-3046
3418 NW 135TH St
Oklahoma City, OK 73120-4009
Phone (405) 753-6142
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180829002033 | OK | Practitioner - Nurse Practitioner | 8123378981 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109224 | OK | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Health and Wellness LLC | Current |
Accepting new patients | |
| Nextgen Sleep LLC | Current |
Accepting new patients | |
| McAlester Medical Services, LLC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
2801 Parklawn Dr
Ste 404
Midwest City, OK 73110
Phone (405) 544-3046
3418 NW 135th St
Oklahoma City, OK 73120
Phone (405) 286-1075
Interoperability endpoints
- https://api.platform.athenahealth.com/8213/brand/3/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 109224 | OK | Yes |
Addresses
Primary practice location
212 W Spaulding St
Checotah, OK 74426-2452
Mailing address
PO Box 179
Stigler, OK 74462-0179
Phone (918) 967-3368
Other practice location 1
806 N Campbell Street
Warner, OK 74469
Phone (918) 463-2837
Other practice location 2
802 Highway 2 N
Wilburton, OK 74578-3625
Phone (918) 465-0005
Other practice location 3
1505 E Main St
Stigler, OK 74462-2913
Phone (918) 967-3368
Other practice location 4
111 W Forrest Ave Ste A
Eufaula, OK 74432-3205
Phone (918) 689-3333
Other practice location 5
1630 S Kerr Blvd
Sallisaw, OK 74955-7240
Phone (918) 790-2653
Other practice location 6
204 Wall St Ste A
Poteau, OK 74953-4400
Phone (918) 647-2155
Other names
- Bethany S Kerr
Other providers in Checotah, OK
- Aspire Health Management, LLC
- Axxess Home Care, Inc.
- Margaret Suzanne Bauman
- Beaver Brothers Dentistry, PLLC
- Benchmark Health Group LLC
- Billy Wayne Hill, O.D., P.C.
- Teresa Lynne Brown
- Tammy Carnes
- Cedar Holding, LLC
- Checotah Holdings, LLC
All providers in Checotah, OK · Primary Care Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.