MRS. BETHANIE LYNN MCCULLOUGH FNP-BC
NPI 1417436676
Nurse Practitioner - Family in Lansing, MI

Active since August 08, 2018PECOS EnrolledAccepts Medicare Assignment
1200 E MICHIGAN AVE STE 775, LANSING, MI 48912(517) 364-5200 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1417436676
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BETHANIE LYNN MCCULLOUGHCredential: FNP-BC
Location Address1200 E MICHIGAN AVE STE 775Lansing, MI 48912-1838
Mailing Address423 E Elm StMason, MI 48854-1721 · (401) 575-7754
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 8, 2018
NPI 1417436676 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 MI · 4704284537
1200 E MICHIGAN AVE STE 775, Lansing, MI 48912

Other Identifiers 1

Other1447344502MI · Individual

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3779833421
PECOS Enrollment IDI20180830001616
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

Surgery
1200 E MICHIGAN AVE STE 775
LANSING, MI 48912

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.

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 and Sparrow Clinton 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.