BETSY SUE KIRKPATRICK MITCHAM NP
NPI 1417387382
Nurse Practitioner - Family in Elizabeth City, NC
About Betsy Sue Kirkpatrick Mitcham Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETSY SUE KIRKPATRICK MITCHAM NP (NPI 1417387382) is an individual family provider in Elizabeth City, North Carolina, licensed in Georgia (RN104197) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Betsy Sue Kirkpatrick Mitcham Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show Betsy Mitcham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28314
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Matrix Occupational Health PC
- 55 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 79 clinicians in this Medicare group
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 275 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 9 clinicians in this Medicare group
Warner Robins, GA 31093
- Reassigned Medicare billing, Georgia enrollment
- 17 clinicians in this Medicare group
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 27909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Betsy Mitcham's NPI number?
The NPI number for Betsy Mitcham is 1417387382. It was assigned to this individual provider in the NPPES registry on November 13, 2013. The provider is also known as Betsy Sue Kirkpatrick Mitcham Np.
Where is Betsy Mitcham located?
Betsy Mitcham practices at 615 S Hughes Blvd, Elizabeth City, NC 27909. The listed phone number is (252) 338-3111.
What is Betsy Mitcham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Betsy Mitcham enrolled in Medicare?
Yes. Betsy Mitcham 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 Betsy Mitcham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Mitcham reassigns Medicare benefits to 5 organizations: Matrix Occupational Health P.C. (Fayetteville, NC), Northeast Georgia Diagnostic Associates And Clinic, LLC (Gainesville, GA), Gwinnett Physician Group, LLC (Lawrenceville, GA), Ocmulgee Physicians, LLC (Macon, GA) and Medical Group Of Central Georgia, LLC (Warner Robins, GA). 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 Betsy Mitcham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Betsy Mitcham was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Betsy Sue Kirkpatrick Mitcham, NP · NPI 1417387382
Family physician in Elizabeth City, North Carolina. Individual provider, active in the CMS NPPES registry since November 13, 2013.
## Identity
- **NPI:** 1417387382 (Entity type: Individual)
- **Enumerated:** November 13, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN104197 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 S HUGHES BLVD, Elizabeth City, NC 27909-4785
- **Phone:** (252) 338-3111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Matrix Occupational Health P.C. (NPI 1144279670, Fayetteville, NC); Northeast Georgia Diagnostic Associates And Clinic, LLC (NPI 1144719311, Gainesville, GA); Gwinnett Physician Group, LLC (NPI 1578574661, Lawrenceville, GA); Ocmulgee Physicians, LLC (NPI 1629346416, Macon, GA); Medical Group Of Central Georgia, LLC (NPI 1083860779, Warner Robins, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1417387382) · Data from the CMS NPPES public registry.