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MRS. BETHANY LAURIAN DOUGLAS MSN FNP-C
NPI 1306658463
Nurse Practitioner - Family in Mount Vernon, MO

Active since January 24, 2025PECOS EnrolledAccepts Medicare Assignment
320 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712(417) 461-0056(833) 707-1944 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Bethany Laurian Douglas Msn Fnp-c NPPES

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

MRS. BETHANY LAURIAN DOUGLAS MSN FNP-C (NPI 1306658463) is an individual family provider in Mount Vernon, Missouri, licensed in Missouri (2025001784) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Cox Monett Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306658463
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BETHANY LAURIAN DOUGLASCredential: MSN FNP-C
Location Address320 W MOUNT VERNON BLVDMount Vernon, MO 65712-1940
Mailing Address320 W Mount Vernon BlvdMount Vernon, MO 65712-1940 · (417) 461-0056
Phone(417) 461-0056
Fax(833) 707-1944
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 24, 2025
Last NPPES UpdateMarch 4, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1306658463 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
License✔ Licensed in MO · 2025001784
320 W MOUNT VERNON BLVD, Mount Vernon, MO 65712
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Bethany Laurian Douglas Msn Fnp-c 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.

PECOS PAC ID1557887114
PECOS Enrollment IDI20250428000123
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Monett Hospital

Critical Access Hospitals · Monett, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261329
Location1000 E Us Highway 60Monett, MO 65708 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65712 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 3

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

LISA L PARKER MD
Family Medicine
320 W MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 461-0056
JULIA MARIE EDEN CNP
Nurse Practitioner (Family)
320 W MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 461-0056
CIRCLE MAKER LLC
Family Medicine
320 W MOUNT VERNON BLVD
MOUNT VERNON, MO 65712
Lawrence County (417) 461-0056

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 Douglas's NPI number?

The NPI number for Bethany Douglas is 1306658463. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Bethany Douglas located?

Bethany Douglas practices at 320 W Mount Vernon Blvd, Mount Vernon, MO 65712. The listed phone number is (417) 461-0056.

What is Bethany Douglas's specialty?

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

Is Bethany Douglas enrolled in Medicare?

Yes. Bethany Douglas 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.

Is Bethany Douglas affiliated with any hospitals?

According to CMS data, Bethany Douglas is affiliated with Cox Monett Hospital.

When was this NPI record last updated?

The NPPES record for Bethany Douglas was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.