MR. KENNETH J BETHARDS FNP
NPI 1558337832
Nurse Practitioner - Family in Bloomington, IN

Q: What is Kenneth Bethards's NPI number?

The NPI number for Kenneth Bethards is 1558337832. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Kenneth Bethards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bethards was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 27, 2006PECOS Enrolled

2701 E 3RD ST, BLOOMINGTON, IN 47401(270) 748-2786 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Kenneth J Bethards Fnp NPPES

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

MR. KENNETH J BETHARDS FNP (NPI 1558337832) is an individual family provider in Bloomington, Indiana, licensed in Indiana (APN 710056636A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558337832

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. KENNETH J BETHARDSCredential: FNP

Location Address2701 E 3RD STBloomington, IN 47401-5433

Mailing Address1481 W 10th StIndianapolis, IN 46202-2803 · (812) 348-0300

Phone(270) 748-2786

Sole ProprietorNo

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJanuary 10, 2023

NPPES CertifiedJanuary 10, 2023

✔ NPI 1558337832 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 IN · APN 710056636A

2701 E 3RD ST, Bloomington, IN 47401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth J Bethards Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47401 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 19

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

KATHY KALOTTA NP-C

Nurse Practitioner (Family)