Individual provider Active NPI

Bethany Elyse Kane, PA-C

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1962838607
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MA064217 Issued in PA
Practice address
296 Saint Charles Way
York, PA 17402-4648
Phone
(717) 812-5050
Fax
(717) 741-2427
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MA064217 PA Primary
Medical Physician Assistant 363AM0700X C0005150 MD

Addresses

Primary practice location

296 Saint Charles Way
York, PA 17402-4648

Mailing address

PO Box 1409
26840 Point Lookout Road
Leonardtown, MD 20650-1409
Phone (301) 475-8091

Other practice location 1

3445 Box Hill Corporate Center Dr
Abingdon, MD 21009-1223
Phone (410) 569-5151

Other practice location 2

26840 Point Lookout Road
Leonardtown, MD 20650-1409
Phone (301) 475-8091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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
I20140310001334 MD Practitioner - Physician Assistant 4082844287 Reassigns benefits to 1 organization
I20250821004919 PA Practitioner - Physician Assistant 4082844287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

25 Monument Rd
York, PA 17403-5073

292 Saint Charles Way
York, PA 17402-4648
Phone (717) 851-6040

296 St Charles Way
York, PA 17402-4648

Hospital & facility affiliations

  • Wellspan York Hospital Hospital, York, PA, CCN 390046

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0005150MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC CurrentSince Nov 1, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Sep 15, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Sep 15, 2025 Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince Nov 1, 2021 Accepting new patients
Englert Dermatology, LLC Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

3445 Box Hill Corporate Center Dr
Ste E
Abingdon, MD 21009
Phone (410) 472-1006

101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

296 Saint Charles Way
York, PA 17402
Phone (717) 812-5050

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: bkane495107@wellspan.direct-ci.com

Organizations & group practices 8

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 4

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1962838607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1409",
            "address_2": "26840 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501409",
            "telephone_number": "301-475-8091",
            "fax_number": "301-475-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024648",
            "telephone_number": "717-812-5050",
            "fax_number": "717-741-2427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Box Hill Corporate Center Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "MD",
            "postal_code": "210091223",
            "country_code": "US",
            "telephone_number": "410-569-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26840 Point Lookout Road",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206501409",
            "country_code": "US",
            "telephone_number": "301-475-8091",
            "fax_number": "301-475-6712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "BETHANY",
        "middle_name": "ELYSE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "MA064217",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.