Individual provider Active NPI

Betsy Lucille Aughenbaugh, MSN, FNP-BC

  • Family Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1992583165
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209028292 Issued in IL
Practice address
107 N Regency Dr
Bloomington, IL 61701-3505
Phone
(309) 661-0406
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 209.028292 IL
Family Nurse Practitioner 363LF0000X 209028292 IL Primary
Family Medicine Physician 207Q00000X 209.028292 IL

Addresses

Primary practice location

107 N Regency Dr
Bloomington, IL 61701-3505

Mailing address

107 N Regency Dr
Bloomington, IL 61701-3505
Phone (309) 661-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002041 IL Practitioner - Nurse Practitioner 3072962554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Dutta OBGYN SCGroup PAC ID 7719119007, 2 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

107 N Regency Dr
Suite 3
Bloomington, IL 61701-3505
Phone (309) 661-0406

2500 W Reynolds St
Pontiac, IL 61764-9774

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
209.028292ILMDObstetrics & Gynecology Physician
209028292ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Dutta, OB-GYN, S.C. Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 16, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

107 N Regency Dr
Ste 3
Bloomington, IL 61701
Phone (309) 661-0406

2111 E Oakland Ave
Ste B
Bloomington, IL 61701
Phone (309) 531-3012

845 S Route 51
Forsyth, IL 62535
Phone (217) 872-0953

602 Woodlawn Rd
Lincoln, IL 62656
Phone (217) 651-8270

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2500 W Reynolds St
Ste 207203205206
Pontiac, IL 61764

1405 W Park St
Ste 302
Urbana, IL 61801
Phone (217) 337-2010

Organizations & group practices 4

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 2

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1992583165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N REGENCY DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013505",
            "telephone_number": "309-661-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N REGENCY DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013505",
            "telephone_number": "309-661-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGHENBAUGH",
        "first_name": "BETSY",
        "middle_name": "LUCILLE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "209.028292",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028292",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209.028292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.