Individual provider Active NPI

Beth Marie Powers, NP

  • Family Nurse Practitioner
  • Indian River, MI
National Provider Identifier
1811279789
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704199609 Issued in MI
Practice address
3860 S Straits Hwy
Indian River, MI 49749-5146
Phone
(231) 238-0581
Fax
(231) 238-0856
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 4704199609 MI Primary

Addresses

Primary practice location

3860 S Straits Hwy
Indian River, MI 49749-5146

Mailing address

3860 S Straits Hwy
Indian River, MI 49749-5146
Phone (231) 238-0581

Other practice location 1

14651 W Upright St
Charlevoix, MI 49720-1266
Phone (231) 547-4477

Other identifiers 2

IdentifierTypeStateIssuer
4704199609OtherMIMICHIGAN LICENSE
OF96004OtherMEDICARE GROUP NUMBER

Other names 1

  • Beth Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140620001460 MI Practitioner - Nurse Practitioner 7315161940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1996 Walden
Otsego County Memorial Hospital
Gaylord, MI 49735
Phone 51773141111

3860 S Straits Hwy
MHC Omh Medical Group Indian River
Indian River, MI 49749-5146
Phone (231) 238-0581

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Apr 14, 2014 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Apr 14, 2014 Accepting new patients

Locations

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 130
Gaylord, MI 49735
Phone (989) 731-7930

829 N Center Ave
Ste 200
Gaylord, MI 49735
Phone (989) 731-2105

829 N Center Ave
Ste 298
Gaylord, MI 49735
Phone (989) 731-7707

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: bpowers2@direct.mhc.net

Organizations & group practices 4

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 3

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1811279789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495146",
            "telephone_number": "231-238-0581",
            "fax_number": "231-238-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495146",
            "telephone_number": "231-238-0581",
            "fax_number": "231-238-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14651 W Upright St",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201266",
            "country_code": "US",
            "telephone_number": "231-547-4477",
            "fax_number": "231-392-7334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704199609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE",
            "identifier": "4704199609",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "OF96004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indian River, MI

Sources for this page

Verify at the official NPI Registry.