Bethany Kingsberry, APRN-NP - Medicare Nurse Practitioner in Portland, OR

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Bethany Kingsberry, APRN-NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Portland, Oregon. Her current practice location is 5050 Ne Hoyt St Ste 610, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 467-4761.

Bethany Kingsberry is licensed to practice in Oregon (license number 10036936) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770045767.

Contact Information

Bethany Kingsberry, APRN-NP
5050 Ne Hoyt St Ste 610,
Portland, OR 97213-2985
(503) 467-4761
Not Available

Map and Direction




Provider's Profile

Full NameBethany Kingsberry
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location5050 Ne Hoyt St Ste 610, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770045767
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 03/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042619264
  • Enrollment ID: I20210520001182

Medical Identifiers

Medical identifiers for Bethany Kingsberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770045767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R0121579 (Oklahoma)Secondary
163WR0006XRegistered Nurse - Registered Nurse First Assistant R0121579 (Oklahoma)Secondary
363L00000XNurse Practitioner 200647 (Oklahoma)Secondary
363L00000XNurse Practitioner 10036936 (Oregon)Secondary
363LA2100XNurse Practitioner - Acute Care 200647 (Oklahoma)Secondary
363LG0600XNurse Practitioner - Gerontology 10036936 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bethany Kingsberry allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Oklahoma Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210505002298
Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany Kingsberry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bethany Kingsberry, APRN-NP
Po Box 3158,
Portland, OR 97208-3158

Ph: () -		Bethany Kingsberry, APRN-NP
5050 Ne Hoyt St Ste 610,
Portland, OR 97213-2985

Ph: (503) 467-4761

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.