BETHANY MARIE MISTONE
NPI 1477094936
Family Medicine in Woonsocket, RI

Active since March 16, 2017PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
1 CVS DR, WOONSOCKET, RI 02895(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2025, Oct 4, 2022, Aug 13, 2019 and 3 more (6 updates tracked since 2017).

About Bethany Marie Mistone NPPES

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

BETHANY MARIE MISTONE (NPI 1477094936) is an individual family medicine provider in Woonsocket, Rhode Island, licensed in California (95009462) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477094936
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBETHANY MARIE MISTONE
Location Address1 CVS DRWoonsocket, RI 02895-6146
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 16, 2017
Last NPPES UpdateNovember 8, 20256 updates tracked since enumeration
NPPES CertifiedNovember 8, 2025
NPI 1477094936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 95009462 Licensed in NM · APRN-68260 Licensed in AK · 195250 Licensed in MT · 195610 Licensed in HI · APRN-3697-0 Licensed in OR · 202211540NP-PP Licensed in IL · 277.003876 Licensed in MO · 2025025397 Licensed in AZ · 281309 Licensed in UT · 12788908 Licensed in OH · 020650 Licensed in MN · 10333 Licensed in WA · AP61313022
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 CVS DR, Woonsocket, RI 02895

Secondary Practice Locations 2

Location 133205 Temecula PkwyTemecula, CA 92592-9142 · Phone (866) 389-2727
Location 24961 Roberts RdHilliard, OH 43026-8129 · Phone (866) 389-2727

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

Bethany Marie Mistone 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 ID1658657317
PECOS Enrollment IDI20191028001001
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

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.

Pharmacist
1 CVS DR
WOONSOCKET, RI 02895
Pharmacist
1 CVS DR
WOONSOCKET, RI 02895
Social Worker (Clinical)
1 CVS DR
WOONSOCKET, RI 02895
Pharmacist
1 CVS DR
WOONSOCKET, RI 02895
Nurse Practitioner
1 CVS DR
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
1 CVS DR
WOONSOCKET, RI 02895
Pharmacist
1 CVS DR
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
1 CVS DR
WOONSOCKET, RI 02895

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 Mistone's NPI number?

The NPI number for Bethany Mistone is 1477094936. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Bethany Mistone located?

Bethany Mistone practices at 1 CVS Dr, Woonsocket, RI 02895. The listed phone number is (866) 389-2727.

What is Bethany Mistone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bethany Mistone enrolled in Medicare?

Yes. Bethany Mistone 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 Bethany Mistone accept?

Health plans from CareSource list Bethany Mistone 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 Mistone was last updated on November 8, 2025. 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.