BETHANNE F CORDOVA FNP
NPI 1750938320
Nurse Practitioner - Family in Excelsior Springs, MO
About Bethanne F Cordova Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANNE F CORDOVA FNP (NPI 1750938320) is an individual family provider in Excelsior Springs, Missouri, licensed in Missouri (2019030527) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with New Liberty Hospital District, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bethanne F Cordova Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Bethanne Cordova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Excelsior Springs, MO 64024
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1285733923 (Missouri)
- 120 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New Liberty Hospital District
Acute Care Hospitals · Liberty, MOExcelsior Springs Hospital
Critical Access Hospitals · Excelsior Springs, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EXCELSIOR SPRINGS, MO 64024
EXCELSIOR SPRINGS, MO 64024
EXCELSIOR SPRINGS, MO 64024
EXCELSIOR SPRINGS, MO 64024
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 Bethanne Cordova's NPI number?
The NPI number for Bethanne Cordova is 1750938320. It was assigned to this individual provider in the NPPES registry on August 19, 2019. The provider is also known as Bethanne Carpenter.
Where is Bethanne Cordova located?
Bethanne Cordova practices at 1700 Rainbow Blvd, Excelsior Springs, MO 64024. The listed phone number is (816) 630-6081.
What is Bethanne Cordova's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bethanne Cordova enrolled in Medicare?
Yes. Bethanne Cordova 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.
Which organization bills Medicare for Bethanne Cordova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethanne Cordova reassigns Medicare benefits to Excelsior Springs City Hospital (Excelsior Springs, MO). The 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 Bethanne Cordova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethanne Cordova accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Bethanne Cordova 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 Bethanne Cordova affiliated with any hospitals?
According to CMS data, Bethanne Cordova is affiliated with New Liberty Hospital District and Excelsior Springs Hospital.
When was this NPI record last updated?
The NPPES record for Bethanne Cordova was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Bethanne F Cordova, FNP · NPI 1750938320
Family physician in Excelsior Springs, Missouri. Individual provider, active in the CMS NPPES registry since August 19, 2019.
## Identity
- **NPI:** 1750938320 (Entity type: Individual)
- **Enumerated:** August 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2019030527 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 RAINBOW BLVD, Excelsior Springs, MO 64024-1182
- **Phone:** (816) 630-6081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Excelsior Springs City Hospital (NPI 1609870310, Excelsior Springs, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1750938320) · Data from the CMS NPPES public registry.