BETH BRADDOCK FNP
NPI 1114518438
Nurse Practitioner - Family in Ashville, OH
About Beth Braddock Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH BRADDOCK FNP (NPI 1114518438) is an individual family provider in Ashville, Ohio, licensed in Ohio (LE-00035424) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Beth Braddock Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Beth Braddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grove City, OH 43123
- Reassigned Medicare billing, Ohio enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Beth Braddock's NPI number?
The NPI number for Beth Braddock is 1114518438. It was assigned to this individual provider in the NPPES registry on January 29, 2021.
Where is Beth Braddock located?
Beth Braddock practices at 15116 Gibson Rd, Ashville, OH 43103. The listed phone number is (740) 804-2756.
What is Beth Braddock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Beth Braddock enrolled in Medicare?
Yes. Beth Braddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Beth Braddock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beth Braddock reassigns Medicare benefits to Imed Urgent Care LLC (Grove City, OH). 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 Beth Braddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Beth Braddock accept?
Health plans from CareSource list Beth Braddock 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 Beth Braddock was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Beth Braddock, FNP · NPI 1114518438
Family physician in Ashville, Ohio. Individual provider, active in the CMS NPPES registry since January 29, 2021.
## Identity
- **NPI:** 1114518438 (Entity type: Individual)
- **Enumerated:** January 29, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LE-00035424 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 15116 GIBSON RD, Ashville, OH 43103-9663
- **Phone:** (740) 804-2756
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Imed Urgent Care LLC (NPI 1831862085, Grove City, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114518438) · Data from the CMS NPPES public registry.