Individual provider Active NPI

Bethany Grant, ARNP

  • Family Nurse Practitioner
  • Rockford, IA
National Provider Identifier
1831601335
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115840 Issued in IA
Practice address
702 E Main Ave
Rockford, IA 50468-1324
Phone
(641) 756-3303
Fax
(641) 756-2475
NPI assigned
Oct 25, 2017
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 115840 IA Primary

Addresses

Primary practice location

702 E Main Ave
Rockford, IA 50468-1324

Mailing address

621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Phone (641) 428-3041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgrant3945367@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20171128002080 IA Practitioner - Nurse Practitioner 4688931793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

702 E Main Ave
Mercyone Rockford Family Medicine
Rockford, IA 50468-1324
Phone (641) 756-3303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115840IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Nov 13, 2017 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Mercyone Central Iowa Urgent Care CurrentSince Feb 1, 2024 Accepting new patients
North Iowa Mercy Clinics CurrentSince Nov 13, 2017 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

6601 SW 9th St
Ste 2
Des Moines, IA 50315

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

2006 N 4th St
Ste 100
Indianola, IA 50125
Phone (515) 241-2000

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

621 S Illinois Ave
Ste 103
Mason City, IA 50401

702 E Main Ave
Rockford, IA 50468
Phone (641) 756-3303

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

Interoperability endpoints

  • Direct secure messaging: bgrant3945367@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1831601335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE STE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-428-3041",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E MAIN AVE",
            "city": "ROCKFORD",
            "state": "IA",
            "postal_code": "504681324",
            "telephone_number": "641-756-3303",
            "fax_number": "641-756-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BETHANY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "115840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgrant3945367@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "702 E Main Ave",
            "city": "Rockford",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504681324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IA

Sources for this page

Verify at the official NPI Registry.