BETHANY BRYANT
NPI 1760044499
Nurse Practitioner - Acute Care in Detroit, MI

Q: What is Bethany Bryant's NPI number?

The NPI number for Bethany Bryant is 1760044499. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Bethany Bryant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Bryant was last updated on March 20, 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 July 02, 2019PECOS Enrolled

18610 FENKELL ST, DETROIT, MI 48223(313) 723-6000(313) 424-4058 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2023, Dec 23, 2020, Nov 23, 2020 and 2 more (5 updates tracked since 2019).

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About Bethany Bryant NPPES

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

BETHANY BRYANT (NPI 1760044499) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704295004) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760044499

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameBETHANY BRYANT

Location Address18610 FENKELL STDetroit, MI 48223-2378

Mailing Address25670 W 12 Mile Rd Apt 304Southfield, MI 48034-8014 · (313) 285-6418

Phone(313) 723-6000

Fax(313) 424-4058

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 2, 2019

Last NPPES UpdateMarch 20, 20235 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1760044499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704295004

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704295004 (MI)

18610 FENKELL ST, Detroit, MI 48223

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Bryant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698100782

PECOS Enrollment IDI20251218003805

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

Medicare enrollment records show Bethany Bryant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Health Network LLC

471 mi

Nurse Practitioner

424 CHURCH ST STE 220
Nashville, TN 37219

Reassigned Medicare billing, Georgia enrollment
274 clinicians in this Medicare group

NPI 1619368842 (877) 564-3627

Matrix Medical Plus

471 mi

Nurse Practitioner

424 CHURCH ST STE 2600
Nashville, TN 37219

Reassigned Medicare billing, Michigan enrollment
49 clinicians in this Medicare group

NPI 1376973461 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48223 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$185.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

MRS. TIMANIKA A DANSBY FNP-BC

Nurse Practitioner (Family)