Bethany P Ball, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Madison, MS
NPI 1972223915 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1972223915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 905499 (MS)
- Practice address
- 117 Fountains Blvd Ste 1
Madison, MS 39110-6317 - Phone
- (601) 499-1105
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arcare
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MS, KY, AR
- 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 |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905499 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Single Specialty | Current |
Accepting new patients |
| Right Track Medical Group, Inc | Single Specialty | Current |
Accepting new patients |
| Arcare | Current |
Accepting new patients | |
| Arcare | Single Specialty | Current | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 905499 | MS | Yes |
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
Other providers in Madison, MS
- Melissa M Bacon
- Rebecca Bagwell
- Elizabeth Baird
- Jean Baker
- Caroline Tate Baldwyn
- Lindsay E Ball
- Scheleria Banks
- Baptist Memorial Rehabilitation Hospital - Madison LLC
- Baptist PT - Madison
- Jasmine Barnes
All providers in Madison, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. 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.