MRS. BETHANY TEMPLIN (AGPCNP) – Primary Care Nurse Practitioner, NPI 1609259373

MRS. BETHANY TEMPLIN (AGPCNP) is a healthcare provider. based in Wyandotte, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP. They hold a License No. 4704278245 (MI). The NPI Number for MRS. BETHANY TEMPLIN (AGPCNP) is 1609259373

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BETHANY TEMPLIN (AGPCNP)
NPI
1609259373
Phone
Not provided
Address
2206 21ST ST
Enumeration Date
30 June 2015
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7343658801
Graduation Year
2015 (11 years ago)
PAC ID
5698060689
Group Practice PAC ID
0547415648
Professional Enrollment ID
I20220822000231
Address ID
MI481832800TR2674XAVEX401

Contacts

Secure Messaging
btemplin364951@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. BETHANY TEMPLIN (AGPCNP)

  • 2206 21ST ST

    WYANDOTTE, MI 481924130

    Phone:

    Type: Mailing

  • 2300 BIDDLE AVE STE 100

    WYANDOTTE, MI 481924650

    Phone: (347) 250-2516

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 147 Open Payments records for all available years, with a total value of $2,606.

Total Amount is formed as General ($2,606) + Research ($0) + Ownership ($0) = $2,606.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Lilly USA, LLC ($461).

Total Amount

$2,606

General + Research + Ownership

Payments

147

Total payment records

General Amount

$2,606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2022-08-22

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
I20220822000231INurse 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.

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

Insurance plans in this area (ZIP 48192)

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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: 0547415648View full group profile
NameSpecialtyState
Internal MedicineMI

Reviews

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Frequently asked questions

Is MRS. BETHANY TEMPLIN (AGPCNP) listed with a National Provider Identifier?
Yes — MRS. BETHANY TEMPLIN (AGPCNP) has NPI 1609259373 on file in the registry.
Is MRS. BETHANY TEMPLIN (AGPCNP) still an active registrant?
MRS. BETHANY TEMPLIN (AGPCNP) carries an active NPI according to the public dataset.
What clinical focus is listed for MRS. BETHANY TEMPLIN (AGPCNP)?
At a glance, MRS. BETHANY TEMPLIN (AGPCNP) is tied to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is MRS. BETHANY TEMPLIN (AGPCNP) registered?
Use Wyandotte, Michigan as the headline location for MRS. BETHANY TEMPLIN (AGPCNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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