MRS. SUSAN NICOLE BETTIS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1437661030

MRS. SUSAN NICOLE BETTIS (PMHNP-BC) is a healthcare provider. based in Jackson, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1-096756 (AL). The NPI Number for MRS. SUSAN NICOLE BETTIS (PMHNP-BC) is 1437661030

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN NICOLE BETTIS (PMHNP-BC)
NPI
1437661030
Phone
(251) 247-2596
Address
113 CHARLOTTE CIR
Enumeration Date
4 November 2017
Last Update Date
4 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2512752286
Graduation Year
2017 (9 years ago)
PAC ID
2264789619
Group Practice PAC ID
8527977883
Professional Enrollment ID
I20180717002816
Address ID
AL364513231GR297XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. SUSAN NICOLE BETTIS (PMHNP-BC)

  • 113, Charlotte Circle, Jackson, Clarke County, Alabama, 36545, United States

    JACKSON, AL 365452203

    Phone: (251) 247-2596

    Type: Mailing

  • 295 S JACKSON ST STE B

    GROVE HILL, AL 364513231

    Phone: (251) 275-3173

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $484.

Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($200).

Total Amount

$484

General + Research + Ownership

Payments

19

Total payment records

General Amount

$484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180717002816INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527977883View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family Practice, Emergency MedicineAL
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Family Practice, Obstetrics/GynecologyAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is MRS. SUSAN NICOLE BETTIS (PMHNP-BC) listed with a National Provider Identifier?
Yes — MRS. SUSAN NICOLE BETTIS (PMHNP-BC) has NPI 1437661030 on file in the registry.
Would MRS. SUSAN NICOLE BETTIS (PMHNP-BC) appear as active to a payer?
You can treat MRS. SUSAN NICOLE BETTIS (PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. SUSAN NICOLE BETTIS (PMHNP-BC)?
At a glance, MRS. SUSAN NICOLE BETTIS (PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Alabama is MRS. SUSAN NICOLE BETTIS (PMHNP-BC) registered?
Use Jackson, Alabama as the headline location for MRS. SUSAN NICOLE BETTIS (PMHNP-BC) here.
When was this NPI issued?
Enumeration for MRS. SUSAN NICOLE BETTIS (PMHNP-BC) is noted as November 4, 2017 where the registry provides it.

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