Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BETHANN PRADNY AGAC-NP BC
NPI 1376051607
Nurse Practitioner - Acute Care in Mishawaka, IN

Active since January 22, 2018PECOS Enrolled
5125 HOLY CROSS PKWY, MISHAWAKA, IN 46545(574) 335-5000 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Bethann Pradny Agac-np Bc NPPES

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

BETHANN PRADNY AGAC-NP BC (NPI 1376051607) is an individual acute care provider in Mishawaka, Indiana, licensed in Indiana (28168062A) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1376051607
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBETHANN PRADNYCredential: AGAC-NP BC
Location Address5125 HOLY CROSS PKWYMishawaka, IN 46545-1469
Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469
Sole ProprietorNo
Enumeration DateJanuary 22, 2018
Last NPPES UpdateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1376051607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IN · 28168062A
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11050314 (FL)
5125 HOLY CROSS PKWY, Mishawaka, IN 46545

Secondary Practice Location 1

Location 19981 S Healthpark DrFort Myers, FL 33908-3618 · Phone (239) 343-2052 · Fax (239) 343-5348

Other Identifiers 1

Medicaid132626600FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethann Pradny Agac-np Bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

Physician Assistant
5125 HOLY CROSS PKWY
MISHAWAKA, IN 46545

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 Bethann Pradny's NPI number?

The NPI number for Bethann Pradny is 1376051607. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Bethann Pradny located?

Bethann Pradny practices at 5125 Holy Cross Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 335-5000.

What is Bethann Pradny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Bethann Pradny enrolled in Medicare?

Yes. Bethann Pradny is registered in the Medicare PECOS enrollment system.

What insurance does Bethann Pradny accept?

Health plans from CareSource list Bethann Pradny 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 Bethann Pradny was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.