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BETHEL MEDICAL GROUP
NPI 1053027508
Nurse Practitioner in Lake Worth, FL

Active since January 27, 2023CLIA 10D2287249 · Waiver
6045 HAGEN RANCH RD STE 4, LAKE WORTH, FL 33467(561) 433-9331(561) 433-8411 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 1, 2025, Mar 19, 2025, Jan 27, 2023 (3 updates tracked since 2023).

About Bethel Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHEL MEDICAL GROUP (NPI 1053027508) is a healthcare organization registered as a nurse practitioner in Lake Worth, Florida and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through August 10, 2027, maintains a secondary practice location in Lake Worth, and lists Naomi Madistin, Owner, as its authorized official.

NPPES Registry Identity

NPI1053027508
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBETHEL MEDICAL GROUP
Location Address6045 HAGEN RANCH RD STE 4Lake Worth, FL 33467-7251
Mailing Address6045 Hagen Ranch Rd Ste 4Lake Worth, FL 33467-7251 · (561) 433-9331 · Fax (561) 433-8411
Phone(561) 433-9331
Fax(561) 433-8411
Organization SubpartNo
Authorized OfficialNaomi MadistinOwner · (561) 420-3346
Enumeration DateJanuary 27, 2023
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1053027508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
6045 HAGEN RANCH RD STE 4, Lake Worth, FL 33467
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Secondary Practice Location 1

Location 16045 Hagen Ranch Rd Ste 4Lake Worth, FL 33467-7251 · Phone (561) 619-9961 · Fax (561) 433-8411

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2287249

Bethel Medical Group Inc · Lake Worth, FL
Active · expires Aug 10, 2027
CLIA Number10D2287249
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorMario Theliard
Laboratory Phone(561) 619-9961
Laboratory LocationBethel Medical Group Inc6045 Hagen Ranch Rd #4, Lake Worth, FL 33467
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE NAOMI C FORGES MADISTIN
Nurse Practitioner (Family)
6045 HAGEN RANCH RD STE 4
LAKE WORTH, FL 33467
Palm Beach County (561) 619-9961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethel Medical Group's NPI number?

The NPI number for Bethel Medical Group is 1053027508. It was assigned to this organization in the NPPES registry on January 27, 2023.

Where is Bethel Medical Group located?

Bethel Medical Group is located at 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467. The listed phone number is (561) 433-9331.

What is Bethel Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Bethel Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2287249) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bethel Medical Group accept?

Health plans from Molina Healthcare list Bethel Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethel Medical Group was last updated on December 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.