BETHANY THERIAULT
NPI 1235750928
Nurse Anesthetist, Certified Registered in Tampa, FL
About Bethany Theriault NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY THERIAULT (NPI 1235750928) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (APRN11010772) and active in the NPI registry since May 2020. She is affiliated with Hca Florida Trinity Hospital and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Bethany Theriault 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 Reassignments
4Medicare enrollment records show Bethany Theriault reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,287 clinicians in this Medicare group
New Port Richey, FL 34652
- Reassigned Medicare billing, Florida enrollment
- 25 clinicians in this Medicare group
Bradenton, FL 34209
- Reassigned Medicare billing, Florida enrollment
- 792 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Florida enrollment
- 768 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Trinity Hospital
Acute Care Hospitals · Trinity, FLHca Florida Bayonet Point Hospital
Acute Care Hospitals · Hudson, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TAMPA, FL 33620
TAMPA, FL 33620
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 Bethany Theriault's NPI number?
The NPI number for Bethany Theriault is 1235750928. It was assigned to this individual provider in the NPPES registry on May 4, 2020.
Where is Bethany Theriault located?
Bethany Theriault practices at 4202 E Fowler Ave, Tampa, FL 33620. The listed phone number is (813) 974-2011.
What is Bethany Theriault's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Bethany Theriault enrolled in Medicare?
Yes. Bethany Theriault 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 organizations bill Medicare for Bethany Theriault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Theriault reassigns Medicare benefits to 4 organizations: Gulf-To-Bay Anesthesiology Associates LLC (Tampa, FL), Suncoast Anesthesia Group, LLC (New Port Richey, FL), Sunshine State Anesthesia Partners LLC (Bradenton, FL) and Ams National LLC (Pensacola, FL). Each 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 Bethany Theriault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bethany Theriault affiliated with any hospitals?
According to CMS data, Bethany Theriault is affiliated with Hca Florida Trinity Hospital and Hca Florida Bayonet Point Hospital.
When was this NPI record last updated?
The NPPES record for Bethany Theriault was last updated on May 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bethany Theriault · NPI 1235750928
Nurse Anesthetist, Certified Registered physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since May 4, 2020.
## Identity
- **NPI:** 1235750928 (Entity type: Individual)
- **Enumerated:** May 4, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN11010772 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4202 E FOWLER AVE, Tampa, FL 33620-8000
- **Phone:** (813) 974-2011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Gulf-To-Bay Anesthesiology Associates LLC (NPI 1215264478, Tampa, FL); Suncoast Anesthesia Group, LLC (NPI 1184275893, New Port Richey, FL); Sunshine State Anesthesia Partners LLC (NPI 1437757127, Bradenton, FL); Ams National LLC (NPI 1316330830, Pensacola, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235750928) · Data from the CMS NPPES public registry.