MRS. BEVERLY JO MORTIMER ARNP
NPI 1053502260
Nurse Practitioner - Family in Glasgow, KY

Q: What is Beverly Mortimer's NPI number?

The NPI number for Beverly Mortimer is 1053502260. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Beverly Mortimer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Mortimer was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2007PECOS Enrolled

1330 N RACE ST, GLASGOW, KY 42141(270) 629-5111(270) 783-3760 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Beverly Jo Mortimer Arnp NPPES

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

MRS. BEVERLY JO MORTIMER ARNP (NPI 1053502260) is an individual family provider in Glasgow, Kentucky, licensed in Kentucky (3005266) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053502260

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BEVERLY JO MORTIMERCredential: ARNP

Location Address1330 N RACE STGlasgow, KY 42141-3465

Mailing Address201 Park StBowling Green, KY 42101-1759 · (270) 780-2497 · Fax (270) 783-3750

Phone(270) 629-5111

Fax(270) 783-3760

Sole ProprietorNo

Enumeration DateAugust 5, 2007

Last NPPES UpdateFebruary 22, 2024

NPPES CertifiedFebruary 22, 2024

✔ NPI 1053502260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in KY · 3005266✔ Licensed in KY · 5266P

1330 N RACE ST, Glasgow, KY 42141

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Other Identifiers 1

Medicaid7100072050KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Beverly Jo Mortimer Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Mortimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Graves Gilbert Clinic PLLC

29 mi

Specialist

201 PARK ST
Bowling Green, KY 42101

Reassigned Medicare billing, Kentucky enrollment
211 clinicians in this Medicare group

NPI 1114948288 (270) 781-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

189 services125 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

88 services88 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

52 services30 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

35 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers36 claims64 services$5.53 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier30 claims1,800 services$1.39 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$110.04 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.00 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers30 claims30 services$187.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

WESTERN KENTUCKY ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES PLLC

Durable Medical Equipment & Medical Supplies

1330 N RACE ST
GLASGOW, KY 42141

Barren County (270) 629-2780

PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC

Family Medicine

1330 N RACE ST, SUITE 2
GLASGOW, KY 42141

Barren County (270) 651-6791

MELINDA MARIE HUNT P.T.

Physical Therapist

1330 N RACE ST
GLASGOW, KY 42141

Barren County (270) 261-5065

TAYLER MCMURTREY MATNEY MD

Family Medicine

1330 N RACE ST
GLASGOW, KY 42141

Barren County (270) 629-5111

GRAVES GILBERT CLINIC, PLLC

Clinic/Center (Rural Health)

1330 N RACE ST
GLASGOW, KY 42141

Barren County (270) 629-5111

DR. PHILLIP W BALE MD

Family Medicine

1330 N RACE ST
GLASGOW, KY 42141

Barren County (270) 629-5111

JAMES M. CLEMENTS M.D.

Family Medicine

1330 N RACE ST
GLASGOW, KY 42141

Barren County (270) 629-5111

ASHLEY GARRETT BIVEN APRN

Nurse Practitioner (Family)

1330 N RACE ST
GLASGOW, KY 42141

Barren County (270) 629-5111

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 Beverly Mortimer's NPI number?

The NPI number for Beverly Mortimer is 1053502260. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Beverly Mortimer located?

Beverly Mortimer practices at 1330 N Race St, Glasgow, KY 42141. The listed phone number is (270) 629-5111.

What is Beverly Mortimer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beverly Mortimer enrolled in Medicare?

Yes. Beverly Mortimer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Mortimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Mortimer reassigns Medicare benefits to Graves Gilbert Clinic PLLC (Bowling Green, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Mortimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Mortimer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Beverly Mortimer 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 Beverly Mortimer was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.