Bethany Ann Danner, CRNP
Individual provider Active NPI Family Nurse Practitioner · Bunnell, FL
NPI 1912272667 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1912272667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11032244 (FL)
- Practice address
- 301 Dr Carter Blvd
Bunnell, FL 32110-6212 - Phone
- (386) 313-7084
- NPI assigned
- Mar 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-South Home Care Services LLC
Practice addresses (Care Compare)
950 S Dillard St
Suite a
Winter Garden, FL 34787-3912
Phone (407) 794-8382
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, FL
- 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 |
|---|---|---|---|---|
| I20130617000418 | MD | Practitioner - Nurse Practitioner | 6406095751 | Reassigns benefits to 2 organizations |
| I20241115003478 | FL | Practitioner - Nurse Practitioner | 6406095751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R108242 | MD | MD | Acute Care Nurse Practitioner |
| 11032244 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| University of MD Obstetrical and Gynecological Asso. PA | Current |
Accepting new patients | |
| Mid-South Home Care Services, LLC | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Mid-South Home Care Services, LLC | Current |
Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients |
Locations
301 Dr Carter Blvd
Bunnell, FL 32110
Phone (386) 437-7350
4776 New Broad St
Ste 150
Orlando, FL 32814
Phone (407) 794-8382
5111 N 12th Ave
Ste B
Pensacola, FL 32504
Phone (850) 316-4882
950 S Dillard St
Ste A
Winter Garden, FL 34787
Phone (352) 816-2600
250 W Pratt St
Ste 880
Baltimore, MD 21201
419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11032244 | FL | Yes |
| Acute Care Nurse Practitioner | 363LA2100X | R108242 | MD | |
| Acute Care Nurse Practitioner | 363LA2100X | 11032244 | FL | |
| Family Nurse Practitioner | 363LF0000X | R108242 | MD |
Addresses
Primary practice location
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Mailing address
2 Lumberjack TRL
Palm Coast, FL 32137-9325
Phone (443) 517-7628
Other providers in Bunnell, FL
- Susan E Crane
- Erin Stewart Crimmins
- Robert Aloysius Crimmins
- Nancy Hutt Culver
- Klara Dandrea
- Christopher Manly Deck
- Delta Health Group Inc
- Dewey World Recovery Community Inc
- Francine T Dias
- Discount Medical Supply, Inc
All providers in Bunnell, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. 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.