Blue Fields Mental Health & Wellness, LC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLUE FIELDS MENTAL HEALTH & WELLNESS, LC

Practice address

133 E Main St
Frostburg, MD 21532-1336

Phone

(301) 687-2555

Fax

(463) 300-5650

NPI assigned

Jan 20, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Jeanette Bedal, APRN, PMHNPNPI 1982358875

Title

Owner/Authorized Official

Phone

(301) 687-2555

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Bedal, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frostburg, MD
  • NPI 1982358875

  Psychiatry

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768003200000",
    "number": "1922819713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321336",
            "telephone_number": "301-687-2555",
            "fax_number": "463-300-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321336",
            "telephone_number": "301-687-2555",
            "fax_number": "463-300-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE FIELDS MENTAL HEALTH & WELLNESS, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A",
        "authorized_official_last_name": "BEDAL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "301-687-2555",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jacob Bittinger
• Jessica Bittinger, COTA/L
• Melanie B Bittner
• Jennifer Black, OTR/L
• Montana Blank
• Nicole R Bonner, CRNP-F
• Nicole Ross Bowers
• Brinton Woods of Frostburg, LLC
• Brinton Woods of Frostburg, LLC
• Lexi Broadwater, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Frostburg, MD
• Providers in Frostburg, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.