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BETTE A. MACINTOSH MD
NPI 1215996483
Psychiatry & Neurology - Child & Adolescent Psychiatry in Springfield, IL

Active since March 17, 2006PECOS Enrolled
710 N 8TH ST, SPRINGFIELD, IL 62702(217) 588-7717(217) 525-1503 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2020, Jan 23, 2019, Jun 22, 2017 (3 updates tracked since 2017).

About Bette A. Macintosh Md NPPES

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

BETTE A. MACINTOSH MD (NPI 1215996483) is an individual child & adolescent psychiatry provider in Springfield, Illinois, licensed in Illinois (036097132) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215996483
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameBETTE A. MACINTOSHCredential: MD
Location Address710 N 8TH STSpringfield, IL 62702-6324
Mailing AddressPo Box 19670Springfield, IL 62794-9670 · (217) 588-7717 · Fax (217) 525-1503
Phone(217) 588-7717
Fax(217) 525-1503
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateNovember 4, 20203 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1215996483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036097132
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036097132 (IL)
710 N 8TH ST, Springfield, IL 62702
Open in Google Maps ↗

Other Identifiers 1

Medicaid036097132IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bette A. Macintosh Md 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 Bette Macintosh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of Southern Illinois University
0.9 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100

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

Other Providers at the Same Location NPPES 20

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

KATHY S LEE APN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-1064
CHRISTY M RUTHERFORD LCPC
Counselor (Professional)
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 588-7561
JEANNETTE A. WELLS RN
Registered Nurse (Psychiatric/Mental Health, Adult)
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-1064
NOVEMBER G COLLINS
Counselor (Professional)
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-1064
DAVID H DECKER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 588-7717
BRIDGET PALMATIER
Counselor (Professional)
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-1064
TANYA DENISE ROLFE FNP-BC
Nurse Practitioner
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JON M BORMANN LCPC
Counselor (Professional)
710 N 8TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-1064

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 Bette Macintosh's NPI number?

The NPI number for Bette Macintosh is 1215996483. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Bette Macintosh located?

Bette Macintosh practices at 710 N 8th St, Springfield, IL 62702. The listed phone number is (217) 588-7717.

What is Bette Macintosh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Bette Macintosh enrolled in Medicare?

Yes. Bette Macintosh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bette Macintosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bette Macintosh reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). 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 Bette Macintosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bette Macintosh was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.