MRS. BETHANIE LYNN MCCULLOUGH FNP-BC
NPI 1417436676
Nurse Practitioner - Family in Lansing, MI
About Mrs. Bethanie Lynn Mccullough Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BETHANIE LYNN MCCULLOUGH FNP-BC (NPI 1417436676) is an individual family provider in Lansing, Michigan, licensed in Michigan (4704284537) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Mrs. Bethanie Lynn Mccullough Fnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Bethanie Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 916 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward W Sparrow Hospital
Acute Care Hospitals · Lansing, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48912 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
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 Bethanie Mccullough's NPI number?
The NPI number for Bethanie Mccullough is 1417436676. It was assigned to this individual provider in the NPPES registry on August 8, 2018.
Where is Bethanie Mccullough located?
Bethanie Mccullough practices at 1200 E Michigan Ave Ste 775, Lansing, MI 48912. The listed phone number is (517) 364-5200.
What is Bethanie Mccullough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bethanie Mccullough enrolled in Medicare?
Yes. Bethanie Mccullough 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 organization bills Medicare for Bethanie Mccullough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethanie Mccullough reassigns Medicare benefits to Edward W. Sparrow Hospital Association (Lansing, MI). The 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 Bethanie Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethanie Mccullough accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Bethanie Mccullough 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.
Is Bethanie Mccullough affiliated with any hospitals?
According to CMS data, Bethanie Mccullough is affiliated with Edward W Sparrow Hospital.
When was this NPI record last updated?
The NPPES record for Bethanie Mccullough was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Bethanie Lynn Mccullough, FNP-BC · NPI 1417436676
Family physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since August 8, 2018.
## Identity
- **NPI:** 1417436676 (Entity type: Individual)
- **Enumerated:** August 8, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704284537 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 E MICHIGAN AVE STE 775, Lansing, MI 48912-1838
- **Phone:** (517) 364-5200
## 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:** Edward W. Sparrow Hospital Association (NPI 1275572745, Lansing, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 8, 2018
- **Other identifiers:** Other 1447344502 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1417436676) · Data from the CMS NPPES public registry.