BETHANY FLICK – Certified Registered Nurse Anesthetist, NPI 1215475967

BETHANY FLICK is a healthcare provider. based in Norton shores, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704272588 (MI). The NPI Number for BETHANY FLICK is 1215475967

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY FLICK
NPI
1215475967
Phone
Not provided
Address
6913 WESTSHIRE DR
Enumeration Date
2 February 2017
Last Update Date
23 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2017 (9 years ago)
PAC ID
3375818867
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20171010000753
Address ID
MI495084600KE4444XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for BETHANY FLICK

  • Westshire Drive, Norton Shores, Muskegon County, Michigan, United States

    NORTON SHORES, MI 49444

    Phone:

    Type: Mailing

  • 2431, East Hagert Street, Kensington, Philadelphia, Philadelphia County, Pennsylvania, 19125, United States

    PHILADELPHIA, PA 191253047

    Phone: (231) 557-6598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Alcon Vision LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$21
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: 2017-10-10

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
I20171010000753ICertified Registered Nurse Anesthetist (Crna)MITBD

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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2423$0
View full utilization report →

Insurance plans in this area (ZIP 49444)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to BETHANY FLICK?
NPI 1215475967 is assigned to BETHANY FLICK under the national enumeration system.
Does this profile mean BETHANY FLICK is currently active?
Yes — BETHANY FLICK appears active in the national provider directory.
What kind of provider is BETHANY FLICK?
The page reflects Certified Registered Nurse Anesthetist for BETHANY FLICK. Clinical services aligned with this taxonomy classification.
What location shows for BETHANY FLICK?
We surface Norton Shores, Michigan for BETHANY FLICK based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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