MRS. BETHANY MARIE COLLOP FNP-C
NPI 1396516894
Nurse Practitioner - Family in Cedar Park, TX

Active since January 12, 2024Opted out of Medicare · through Sep 16, 2026
12171 W PARMER LN STE 102, CEDAR PARK, TX 78613(817) 966-6767 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Bethany Marie Collop Fnp-c NPPES

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

MRS. BETHANY MARIE COLLOP FNP-C (NPI 1396516894) is an individual family provider in Cedar Park, Texas, licensed in Texas (1149791) and active in the NPI registry since January 2024. She has opted out of Medicare through September 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396516894
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BETHANY MARIE COLLOPCredential: FNP-C
Location Address12171 W PARMER LN STE 102Cedar Park, TX 78613-7362
Mailing Address2000 Colina CvCedar Park, TX 78613-7867 · (817) 966-6767
Sole ProprietorNo
Enumeration DateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
NPI 1396516894 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 TX · 1149791
12171 W PARMER LN STE 102, Cedar Park, TX 78613

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Bethany Marie Collop Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2024 through September 16, 2026.

Opt-Out Effective DateSeptember 16, 2024
Opt-Out In Effect ThroughSeptember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Radiology (Neuroradiology)
12171 W PARMER LN STE 102
CEDAR PARK, TX 78613
Radiology (Diagnostic Radiology)
12171 W PARMER LN STE 102
CEDAR PARK, TX 78613
Family Medicine
12171 W PARMER LN STE 102
CEDAR PARK, TX 78613

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 Collop's NPI number?

The NPI number for Bethany Collop is 1396516894. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Bethany Collop located?

Bethany Collop practices at 12171 W Parmer Ln Ste 102, Cedar Park, TX 78613. The listed phone number is (817) 966-6767.

What is Bethany Collop's specialty?

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

Is Bethany Collop enrolled in Medicare?

No. Bethany Collop has opted out of Medicare through September 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bethany Collop was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.