BETHANY III WHITE (AGNP-C) – Adult Health Nurse Practitioner, NPI 1306395264

BETHANY III WHITE (AGNP-C) is a healthcare provider. based in Knoxville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. 21750 (TN). The NPI Number for BETHANY III WHITE (AGNP-C) is 1306395264

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY III WHITE (AGNP-C)
NPI
1306395264
Phone
(865) 579-0552
Address
1128 E WEISGARBER RD
Enumeration Date
3 October 2016
Last Update Date
3 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133484453
Graduation Year
2016 (10 years ago)
PAC ID
1557642642
Group Practice PAC ID
8123448784
Professional Enrollment ID
I20250621000061
Address ID
KS660247801EL502XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for BETHANY III WHITE (AGNP-C)

  • 1128, East Weisgarber Road, Timbercrest, Knoxville, Knox County, Tennessee, 37909, United States

    SUITE 100

    KNOXVILLE, TN 379092674

    Phone: (865) 579-0552

    Fax: (865) 579-1154

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $306.

Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Laborie Medical Technologies Corp. ($189).

Total Amount

$306

General + Research + Ownership

Payments

3

Total payment records

General Amount

$306

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20170104000383INurse PractitionerTNTBD
I20200422002063INurse PractitionerINTBD
I20250610000406INurse PractitionerWITBD
I20250621000061INurse PractitionerKSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10870$0
99443Telephone medical discussion with physician, 21-30 minutes5757$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4935$0
99496Transitional care management services for problem of high complexity4747$0
View full utilization report →

Insurance plans in this area (ZIP 37909)

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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: 8123448784View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeWI
Nurse PractitionerWI
Internal MedicineWI
Nurse PractitionerMO
Internal MedicineTN
Internal Medicine, HospitalistWI
Family PracticeSC
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I verify BETHANY III WHITE (AGNP-C) with an NPI only?
You can start verification with NPI 1306395264 for BETHANY III WHITE (AGNP-C), then check state licensing separately.
Does the file indicate BETHANY III WHITE (AGNP-C) is practicing under active NPI?
Directory data currently reports BETHANY III WHITE (AGNP-C) as active.
What taxonomy line describes BETHANY III WHITE (AGNP-C)?
For research purposes, treat BETHANY III WHITE (AGNP-C) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is BETHANY III WHITE (AGNP-C) based?
BETHANY III WHITE (AGNP-C) is tied to Knoxville, Tennessee in the data we show; additional addresses may exist on the full record.
Why does BETHANY III WHITE (AGNP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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