MARY BETH HARTLEY (APRN) – Nurse Practitioner, NPI 1073510764

MARY BETH HARTLEY (APRN) is a healthcare provider. based in Coffeyville, Kansas. specializing in Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 45384 (KS). The NPI Number for MARY BETH HARTLEY (APRN) is 1073510764

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH HARTLEY (APRN)
NPI
1073510764
Phone
(620) 688-6566
Address
1400 W 4TH ST
Enumeration Date
7 July 2005
Last Update Date
30 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202511200
Graduation Year
2002 (24 years ago)
PAC ID
5991744807
Group Practice PAC ID
9032108865
Professional Enrollment ID
I20050429000684
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MARY BETH HARTLEY (APRN)

  • Coffeyville Regional Medical Center, 1400, West 4th Street, Coffeyville, Montgomery County, Kansas, 67337, United States

    COFFEYVILLE, KS 673373306

    Phone: (620) 688-6566

    Fax: (620) 688-6577

    Type: Location

  • PO BOX 505252

    SAINT LOUIS, MO 631505262

    Phone: (620) 688-6566

    Fax: (620) 688-6577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 67337)

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Provider's Procedures

MARY BETH HARTLEY (APRN) performs procedures in Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKS81002Urinalysis, manual test7750

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: 9032108865View full group profile
NameSpecialtyState
General SurgeryAL
-KS
Nurse PractitionerKS
-KS
-KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Orthopedic SurgeryKS
General SurgeryMO
O B S T E T R I C S/ G Y N E C O L O G YKS

Reviews

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Frequently asked questions

Does MARY BETH HARTLEY (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY BETH HARTLEY (APRN) uses 1073510764.
Is MARY BETH HARTLEY (APRN) listed as active for patients and plans?
The listing shows MARY BETH HARTLEY (APRN) as active in the NPI system.
What is MARY BETH HARTLEY (APRN) best known for clinically?
Directory data describes MARY BETH HARTLEY (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MARY BETH HARTLEY (APRN) on a map?
Expect Coffeyville, Kansas as a primary anchor for MARY BETH HARTLEY (APRN) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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