MRS. BETHANY RENEE AMSTUTZ (RD, LD) – Registered Dietitian, NPI 1255574299

MRS. BETHANY RENEE AMSTUTZ (RD, LD) is a healthcare provider. based in Lima, Ohio. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LD. They hold a License No. LD6291 (OH). The NPI Number for MRS. BETHANY RENEE AMSTUTZ (RD, LD) is 1255574299

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BETHANY RENEE AMSTUTZ (RD, LD)
NPI
1255574299
Phone
(419) 227-7399
Address
750 W HIGH ST STE 250
Enumeration Date
7 April 2009
Last Update Date
21 August 2019

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4192277399
Graduation Year
2008 (18 years ago)
PAC ID
3375692577
Group Practice PAC ID
3375607351
Professional Enrollment ID
I20090519000023
Address ID
OH458013959LI750XXSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

283 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OH

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Provider Addresses for MRS. BETHANY RENEE AMSTUTZ (RD, LD)

  • 750 W HIGH ST STE 250

    LIMA, OH 458013959

    Phone: (419) 227-7399

    Fax: (419) 229-0123

    Type: Mailing

  • 770, West High Street, Lima, Allen County, Ohio, 45801, United States

    SUITE 450

    LIMA, OH 458013990

    Phone: (419) 996-5069

    Fax: (419) 996-5424

    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: 2009-05-19

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
I20090519000023IRegistered Dietitian Or Nutrition ProfessionalOHTBD

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 45801)

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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: 3375607351View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Nurse PractitionerOH
Internal MedicineOH
Nurse PractitionerOH
-FL
Nephrology, Internal MedicineOH
-OH
Nurse PractitionerOH
Family PracticeOH

Reviews

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Frequently asked questions

What federal number belongs to MRS. BETHANY RENEE AMSTUTZ (RD, LD)?
The federal identifier for MRS. BETHANY RENEE AMSTUTZ (RD, LD) is NPI 1255574299.
Is MRS. BETHANY RENEE AMSTUTZ (RD, LD) currently active in the NPI registry?
CMS-published data lists MRS. BETHANY RENEE AMSTUTZ (RD, LD) as an active registrant.
Does MRS. BETHANY RENEE AMSTUTZ (RD, LD) list a primary specialty?
If you are matching referrals, note Registered Dietitian for MRS. BETHANY RENEE AMSTUTZ (RD, LD). Clinical services aligned with this taxonomy classification.
Where is MRS. BETHANY RENEE AMSTUTZ (RD, LD)'s primary listing?
We display Lima, Ohio because that is what the record indicates for MRS. BETHANY RENEE AMSTUTZ (RD, LD).
Is MRS. BETHANY RENEE AMSTUTZ (RD, LD) a real provider?
This page reflects official NPPES data for NPI 1255574299. Always confirm identity and privileges with the practice and licensing boards.

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