DR. BETHANY LEE WISOTZKEY M.D.
NPI 1467778027
Pediatrics - Pediatric Cardiology in Seattle, WA

Active since April 07, 2010PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2000 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bethany Lee Wisotzkey M.d. NPPES

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

DR. BETHANY LEE WISOTZKEY M.D. (NPI 1467778027) is an individual pediatric cardiology provider in Seattle, Washington, licensed in Washington (MD60342211) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467778027
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. BETHANY LEE WISOTZKEYCredential: M.D.
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing AddressPo Box 5371, 818 RcSeattle, WA 98145 · (206) 987-2000
Sole ProprietorNo
Enumeration DateApril 7, 2010
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1467778027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in WA · MD60342211
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
4800 SAND POINT WAY NE, Seattle, WA 98105

Other Names 1

Former Name (1)Bethany Lee Moore

Other Identifiers 2

Medicaid022228100FL
Medicaid1467778027WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bethany Lee Wisotzkey M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Bethany Wisotzkey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trauma Surgery
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
Multi-Specialty
20325 N 51ST AVE, STE 116
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 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.

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.

Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105

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 Wisotzkey's NPI number?

The NPI number for Bethany Wisotzkey is 1467778027. It was assigned to this individual provider in the NPPES registry on April 7, 2010. The provider is also known as Bethany Lee Moore.

Where is Bethany Wisotzkey located?

Bethany Wisotzkey practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2000.

What is Bethany Wisotzkey's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Bethany Wisotzkey enrolled in Medicare?

Yes. Bethany Wisotzkey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bethany Wisotzkey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Wisotzkey reassigns Medicare benefits to 3 organizations: Association Of Chmc And University Physicians (Seattle, WA), The Association Of University Physicians (Seattle, WA) and Phoenix Children's Medical Group (Glendale, AZ). 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 Bethany Wisotzkey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Wisotzkey accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bethany Wisotzkey 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.

When was this NPI record last updated?

The NPPES record for Bethany Wisotzkey was last updated on December 29, 2023. 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.