BETH COLLISTER (MD) – Family Medicine Physician, NPI 1427049063

BETH COLLISTER (MD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 33156 (WI). The NPI Number for BETH COLLISTER (MD) is 1427049063

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
BETH COLLISTER (MD)
NPI
1427049063
Phone
(920) 926-8340
Address
420 E DIVISION ST
Enumeration Date
2 November 2005
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9203872111
Graduation Year
1985 (41 years ago)
PAC ID
1951437664
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20100406000452

Contacts

Secure Messaging
bcollister330200@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for BETH COLLISTER (MD)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8340

    Fax: (920) 926-8370

    Type: Mailing

  • 360, Mountin Drive, Mayville, Village of Williamstown, Dodge County, Wisconsin, 53050, United States

    MAYVILLE, WI 530501498

    Phone: (920) 387-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Boston Scientific Corporation ($80).

Total Amount

$80

General + Research + Ownership

Payments

1

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-23

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes12474$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
G0444Annual depression screening, 5 to 15 minutes4343$0
99215Established patient office or other outpatient visit, 40-54 minutes3833$0
99213Established patient office or other outpatient visit, 20-29 minutes3227$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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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: 1658289624View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI

Reviews

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Frequently asked questions

Does BETH COLLISTER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BETH COLLISTER (MD) uses 1427049063.
Does the file indicate BETH COLLISTER (MD) is practicing under active NPI?
Directory data currently reports BETH COLLISTER (MD) as active.
What is BETH COLLISTER (MD)'s primary classification?
Family Medicine Physician is the headline specialty for BETH COLLISTER (MD) here. Clinical services aligned with this taxonomy classification.
Does BETH COLLISTER (MD) list a practice location?
Patients near Fond Du Lac, Wisconsin may find BETH COLLISTER (MD) in results; validate coverage separately.
Is the information about BETH COLLISTER (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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