BETHANY KINGSBERRY APRN-NP
NPI 1770045767
Nurse Practitioner - Gerontology in Portland, OR

Q: What is Bethany Kingsberry's NPI number?

The NPI number for Bethany Kingsberry is 1770045767. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Bethany Kingsberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

5050 NE HOYT ST STE 610, PORTLAND, OR 97213(503) 467-4761 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Feb 23, 2023, Jan 12, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Bethany Kingsberry Aprn-np NPPES

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

BETHANY KINGSBERRY APRN-NP (NPI 1770045767) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (10036936) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1770045767

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameBETHANY KINGSBERRYCredential: APRN-NP

Location Address5050 NE HOYT ST STE 610Portland, OR 97213-2985

Mailing AddressPo Box 3158Portland, OR 97208-3158

Phone(503) 467-4761

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 1, 2019

Last NPPES UpdateMarch 4, 20255 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1770045767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OR · 10036936

Also ListedRegistered NurseTaxonomy 163W00000X · License R0121579 (OK)

Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License R0121579 (OK)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 200647 (OK), 10036936 (OR)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 200647 (OK)

5050 NE HOYT ST STE 610, Portland, OR 97213

Open in Google Maps ↗

Secondary Practice Location 1

Location 14140 W Memorial Rd Ste 621Oklahoma City, OK 73120-8365 · Phone (405) 749-4231 · Fax (405) 271-4329

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.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 Kingsberry Aprn-np 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 ID42619264

PECOS Enrollment IDI20240517000257, I20260504006249

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450011

Location2801 Franciscan DrBryan, TX 77802 · Brazos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 11

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

EDWARD J BIENIEK MD

Surgery