BETHANY ANN DANNER (CRNP) – Acute Care Nurse Practitioner, NPI 1912272667

BETHANY ANN DANNER (CRNP) is a healthcare provider. based in Palm coast, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 11032244 (FL). The NPI Number for BETHANY ANN DANNER (CRNP) is 1912272667

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY ANN DANNER (CRNP)
NPI
1912272667
Phone
(443) 517-7628
Address
2 LUMBERJACK TRL
Enumeration Date
14 March 2012
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4077948382
Graduation Year
2016 (10 years ago)
PAC ID
6406095751
Group Practice PAC ID
4385961093
Professional Enrollment ID
I20241115003478
Address ID
FL347873912WI950XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for BETHANY ANN DANNER (CRNP)

  • 2 LUMBERJACK TRL

    PALM COAST, FL 321379325

    Phone: (443) 517-7628

    Type: Mailing

  • 301 DR CARTER BLVD

    BUNNELL, FL 321106212

    Phone: (386) 313-7084

    Type: Location

  • 405 OBRECHT RD

    MILLERSVILLE, MD 211081202

    Phone: (443) 517-7628

    Type: Mailing

  • 22 S GREENE ST

    BALTIMORE, MD 212011544

    Phone: (410) 232-5311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($101).

Total Amount

$101

General + Research + Ownership

Payments

3

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130617000418INurse PractitionerMDTBD
I20241115003478INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes9978$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or1712$0
99205New patient office or other outpatient visit, 60-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 32137)

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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: 4385961093View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerGA
-FL
Nurse PractitionerVA
Nurse PractitionerWI
Certified Clinical Nurse Specialist (Cns)OH
Nurse PractitionerIN
Nurse PractitionerMO
Nurse PractitionerMS
-FL

Reviews

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Frequently asked questions

Can I use this page to confirm BETHANY ANN DANNER (CRNP)'s NPI?
Yes. BETHANY ANN DANNER (CRNP) is listed with NPI 1912272667 in the public NPI dataset.
Is BETHANY ANN DANNER (CRNP) still practicing?
BETHANY ANN DANNER (CRNP) is currently listed as active in the public NPI registry.
What is BETHANY ANN DANNER (CRNP)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for BETHANY ANN DANNER (CRNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for BETHANY ANN DANNER (CRNP)?
BETHANY ANN DANNER (CRNP)'s geographic hint is Palm Coast, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.