BETHANY GILLIS (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1447404298

BETHANY GILLIS (NP) is a healthcare provider. based in Morristown, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 13739 (TN). The NPI Number for BETHANY GILLIS (NP) is 1447404298

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY GILLIS (NP)
NPI
1447404298
Phone
(423) 586-1818
Address
502 WEST SEVENTH NORTH STREET
Enumeration Date
6 November 2008
Last Update Date
1 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656379711
Graduation Year
2008 (18 years ago)
PAC ID
1456413913
Group Practice PAC ID
1658278809
Professional Enrollment ID
I20081218000156
Address ID
TN379175158KN205XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for BETHANY GILLIS (NP)

  • 502 WEST SEVENTH NORTH STREET

    MORRISTOWN, TN 37814

    Phone: (423) 586-1818

    Fax: (423) 586-5989

    Type: Mailing

  • 200 TECH CENTER DR

    KNOXVILLE, TN 379122747

    Phone: (865) 637-9711

    Type: Mailing

  • 502, West 7th North Street, Morristown, Hamblen County, Tennessee, 37814, United States

    LAKEWAY FAMILY CLINIC

    MORRISTOWN, TN 37814

    Phone: (423) 586-1818

    Fax: (423) 586-5989

    Type: Location

  • 205 W SPRINGDALE AVE

    KNOXVILLE, TN 379175158

    Phone: (865) 637-9711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $356.

Total Amount is formed as General ($356) + Research ($0) + Ownership ($0) = $356.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($153).

Total Amount

$356

General + Research + Ownership

Payments

15

Total payment records

General Amount

$356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2008-12-18

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
I20081218000156INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13266$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 37814)

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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: 1658278809View full group profile
NameSpecialtyState
-TN
P S Y C H I A T R YTN
Mental Health CounselorTN
Nurse PractitionerTN
Mental Health CounselorTN
Mental Health CounselorTN
Clinical Social WorkerTN
-TN
Nurse PractitionerTN
P S Y C H I A T R YTN

Reviews

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Frequently asked questions

Where can patients find BETHANY GILLIS (NP)'s NPI?
You can confirm BETHANY GILLIS (NP) with NPI 1447404298; it appears in the national provider directory.
Is BETHANY GILLIS (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does BETHANY GILLIS (NP) work in?
You can think of BETHANY GILLIS (NP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is BETHANY GILLIS (NP)'s primary listing?
We display Morristown, Tennessee because that is what the record indicates for BETHANY GILLIS (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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