JENNIFER BETHEA (FNP-BC) – Family Nurse Practitioner, NPI 1427343789

JENNIFER BETHEA (FNP-BC) is a healthcare provider. based in Marysville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704292244NSA190UV (MI). The NPI Number for JENNIFER BETHEA (FNP-BC) is 1427343789

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BETHEA (FNP-BC)
NPI
1427343789
Phone
(810) 388-1200
Address
1600 Gratiot Blvd
Enumeration Date
15 June 2011
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133447730
Graduation Year
2019 (7 years ago)
PAC ID
3072945070
Group Practice PAC ID
2567621477
Professional Enrollment ID
I20191113000811
Address ID
MI482133448DE5555XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JENNIFER BETHEA (FNP-BC)

  • 1600 Gratiot Blvd

    Marysville, MI 480401145

    Phone: (810) 388-1200

    Type: Location

  • 2915 Walton Blvd

    Rochester Hills, MI 483091419

    Phone: (248) 759-4222

    Type: Location

  • 4060 ROCHESTER RD

    TROY, MI 480854923

    Phone: (482) 506-4202

    Type: Mailing

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (313) 874-4806

    Type: Mailing

  • 51160 GRATIOT AVE

    CHESTERFIELD, MI 480512035

    Phone: (586) 221-1805

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-13

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
I20191113000811INurse PractitionerMITBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes9246$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes3819$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3713$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48040)

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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: 2567621477View full group profile
NameSpecialtyState
Nurse PractitionerMI
Physician AssistantMI
Internal MedicineMI
-MI
-MI
Internal MedicineMI
Physician AssistantMI
Nurse PractitionerMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Does JENNIFER BETHEA (FNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIFER BETHEA (FNP-BC) uses 1427343789.
Does the file indicate JENNIFER BETHEA (FNP-BC) is practicing under active NPI?
Directory data currently reports JENNIFER BETHEA (FNP-BC) as active.
What taxonomy line describes JENNIFER BETHEA (FNP-BC)?
For research purposes, treat JENNIFER BETHEA (FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does JENNIFER BETHEA (FNP-BC) serve?
JENNIFER BETHEA (FNP-BC)'s listing highlights Marysville, Michigan; more addresses can appear in NPPES.
Why does JENNIFER BETHEA (FNP-BC) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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