BETHANY ANN SANDERS CNP
NPI 1417308750
Nurse Practitioner - Gerontology in East Boston, MA

Q: What is Bethany Sanders's NPI number?

The NPI number for Bethany Sanders is 1417308750. It was assigned to this individual provider in the NPPES registry on June 28, 2016. The provider is also known as Bethany Ann Crombie Cnp.

Q: What is Bethany Sanders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Sanders was last updated on June 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2016PECOS Enrolled

10 GOVE ST, EAST BOSTON, MA 02128(617) 569-5800(617) 568-4780 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2019, Nov 11, 2016, Jun 28, 2016 (3 updates tracked since 2016).

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About Bethany Ann Sanders Cnp NPPES

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

BETHANY ANN SANDERS CNP (NPI 1417308750) is an individual gerontology provider in East Boston, Massachusetts, licensed in Massachusetts (RN2296169) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417308750

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameBETHANY ANN SANDERSCredential: CNP

Location Address10 GOVE STEast Boston, MA 02128-1920

Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4780

Phone(617) 569-5800

Fax(617) 568-4780

Sole ProprietorNo

Enumeration DateJune 28, 2016

Last NPPES UpdateJune 4, 20193 updates tracked since enumeration

✔ NPI 1417308750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MA · RN2296169

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN2296169 (MA)

10 GOVE ST, East Boston, MA 02128

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Other Names 1

Former Name (1)Bethany Ann Crombie Cnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Ann Sanders Cnp 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 02128 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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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.

DR. SUTAPA GHOSH M.D.

Obstetrics & Gynecology