Individual provider Active NPI

Bethany Clare Klopfer, APRN

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1881347854
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31063 Issued in TN
Practice address
2801 Seven Mile Ferry Rd
Clarksville, TN 37040-8342
Phone
(330) 280-7046
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 31063 TN Primary

Addresses

Primary practice location

2801 Seven Mile Ferry Rd
Clarksville, TN 37040-8342

Mailing address

2801 Seven Mile Ferry Rd
Clarksville, TN 37040-8342
Phone (330) 280-7046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230315000925 MD Practitioner - Nurse Practitioner 0648657155 Reassigns benefits to 1 organization
I20240423000056 DE Practitioner - Nurse Practitioner 0648657155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

200 Civic Ave
Salisbury, MD 21804-4599
Phone (410) 749-1466

715 E King St
Seaford, DE 19973-3505
Phone (302) 628-3000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31063TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Feb 14, 2023 Accepting new patients

Locations

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1881347854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SEVEN MILE FERRY RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408342",
            "telephone_number": "330-280-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SEVEN MILE FERRY RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408342",
            "telephone_number": "330-280-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPFER",
        "first_name": "BETHANY",
        "middle_name": "CLARE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.