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KENATTA BETHEA PMHNP-BC
NPI 1376133496
Nurse Practitioner - Psychiatric/Mental Health in South Boston, VA

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
424 HAMILTON BLVD, SOUTH BOSTON, VA 24592(434) 572-2936(434) 572-4665 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2026, Jan 22, 2021 (2 updates tracked since 2021).

About Kenatta Bethea Pmhnp-bc NPPES

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

KENATTA BETHEA PMHNP-BC (NPI 1376133496) is an individual psychiatric/mental health provider in South Boston, Virginia, licensed in Virginia (0024180834) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Suffolk, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376133496
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKENATTA BETHEACredential: PMHNP-BC
Location Address424 HAMILTON BLVDSouth Boston, VA 24592-5200
Mailing Address3897 Bridge Rd Ste 104Suffolk, VA 23435-1911 · (757) 654-4342 · Fax (757) 209-5477
Phone(434) 572-2936
Fax(434) 572-4665
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 22, 2021
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1376133496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024180834
424 HAMILTON BLVD, South Boston, VA 24592
Open in Google Maps ↗

Secondary Practice Location 1

Location 13897 Bridge Rd Ste 104Suffolk, VA 23435-1911 · Phone (757) 654-4342 · Fax (757) 209-5477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Kenatta Bethea Pmhnp-bc 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 ID6305253337
PECOS Enrollment IDI20260624000271
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 Reassignments

3

Medicare enrollment records show Kenatta Bethea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southside Behavioral Health
21 mi
Community/Behavioral Health
143 INDUSTRIAL PARKWAY
Clarksville, VA 23927
  • Reassigned Medicare billing, Virginia enrollment
  • 30 clinicians in this Medicare group
NPI 1700890761 (434) 572-6916
Childrens Specialty Group PLLC
145 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007
Forefront Telecare Inc
1,051 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
NPI 1174035612 (972) 449-0540

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 24592 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 9

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

MR. MARCUS BATES LCSW
Social Worker (Clinical)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (434) 572-2936
HILLARY CRENSHAW
Counselor (Professional)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (434) 476-5526
NOVELLA S BEAVER LCSW
Social Worker (Clinical)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (434) 572-2936
MRS. ERIKA SCRUGGS LPC
Counselor (Professional)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (434) 572-2936
ADRIANA E. FOSTER MD
Psychiatry & Neurology (Psychiatry)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (833) 272-2778
BRANDY ST JOHN LPC
Counselor (Professional)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4863
DARRIN ADAMS LPC, RN
Counselor (Professional)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (434) 572-2936
LAURA HAMLETTE MS, LPC, CSAC
Counselor (Professional)
424 HAMILTON BLVD
SOUTH BOSTON, VA 24592
Halifax County (434) 572-2936

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 Kenatta Bethea's NPI number?

The NPI number for Kenatta Bethea is 1376133496. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Kenatta Bethea located?

Kenatta Bethea practices at 424 Hamilton Blvd, South Boston, VA 24592. The listed phone number is (434) 572-2936.

What is Kenatta Bethea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kenatta Bethea enrolled in Medicare?

Yes. Kenatta Bethea 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 Kenatta Bethea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenatta Bethea reassigns Medicare benefits to 3 organizations: Southside Behavioral Health (Clarksville, VA), Childrens Specialty Group PLLC (Norfolk, VA) and Forefront Telecare Inc (Dallas, TX). 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 Kenatta Bethea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenatta Bethea accept?

Health plans from Oscar Health list Kenatta Bethea 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 Kenatta Bethea was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.