1. Home
  2. Directory
  3. Texas
  4. Waco
  5. Physician Assistant
  6. NPI Profile

BETHANY DALLENBACH PA-C
NPI 1740137983
Physician Assistant in Waco, TX

Active since March 16, 2026PECOS Enrolled
2420 WYCON DR STE 403, WACO, TX 76712(254) 420-0002 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Dallenbach Pa-c NPPES

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

BETHANY DALLENBACH PA-C (NPI 1740137983) is an individual physician assistant in Waco, Texas and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2025).

NPPES Registry Identity

NPI1740137983
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBETHANY DALLENBACHCredential: PA-C
Location Address2420 WYCON DR STE 403Waco, TX 76712-8988
Mailing Address2420 Wycon Dr Ste 403Waco, TX 76712-8988
Phone(254) 420-0002
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2025
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1740137983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2420 WYCON DR STE 403, Waco, TX 76712
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Dallenbach Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345710448
PECOS Enrollment IDI20260529003262
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 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

LACY COKER KESSLER, MD, PA
Obstetrics & Gynecology
2420 WYCON DR STE 403
WACO, TX 76712
McLennan County (254) 420-0002

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 Dallenbach's NPI number?

The NPI number for Bethany Dallenbach is 1740137983. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Bethany Dallenbach located?

Bethany Dallenbach practices at 2420 Wycon Dr Ste 403, Waco, TX 76712. The listed phone number is (254) 420-0002.

What is Bethany Dallenbach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bethany Dallenbach enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bethany Dallenbach was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.