Individual provider Active NPI

Bethany P Ball, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, MS
National Provider Identifier
1972223915
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905499 Issued in MS
Practice address
117 Fountains Blvd Ste 1
Madison, MS 39110-6317
Phone
(601) 499-1105
NPI assigned
Aug 30, 2022
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X 905499 MS Primary

Addresses

Primary practice location

117 Fountains Blvd Ste 1
Madison, MS 39110-6317

Mailing address

1 Miller Pkwy Apt 7206
Jackson, MS 39211-1854
Phone (662) 803-0196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, KY, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230519000496 MS Practitioner - Nurse Practitioner 5698131514 Reassigns benefits to 2 organizations
I20250630002439 KY Practitioner - Nurse Practitioner 5698131514 Reassigns benefits to 1 organization
I20250701002081 AR Practitioner - Nurse Practitioner 5698131514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

125 S 20TH St
Paducah, KY 42001-7100
Phone (270) 415-0467

3360 Wayne Sullivan Dr
Paducah, KY 42003-0337
Phone (270) 443-9474

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare Single Specialty CurrentSince Jun 17, 2025 Accepting new patients
Arcare Single Specialty Current Accepting new patients
Arcare CurrentSince Jun 17, 2025 Accepting new patients
Right Track Medical Group, Inc Single Specialty CurrentSince Apr 18, 2023 Accepting new patients
Precise Clinical Neuroscience Specialists Single Specialty Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

117 Fountains Blvd
Ste 1
Madison, MS 39110
Phone (601) 499-1105

353 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-5999

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

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.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1972223915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILLER PKWY APT 7206",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392111854",
            "telephone_number": "662-803-0196",
            "fax_number": "615-334-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FOUNTAINS BLVD STE 1",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106317",
            "telephone_number": "601-499-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "BETHANY",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.