BETHANY KINGSBERRY APRN-NP
NPI 1770045767
Nurse Practitioner - Gerontology in Portland, OR
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 Wellstar Cobb Medical Center, and maintains a secondary practice location in Oklahoma City.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Bethany Kingsberry reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 676 clinicians in this Medicare group
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Oklahoma enrollment
- 238 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Massachusetts and Oregon enrollments
- 203 clinicians in this Medicare group
Cartersville, GA 30121
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAPhysician 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.
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.
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 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.
Where is Bethany Kingsberry located?
Bethany Kingsberry practices at 5050 NE Hoyt St Ste 610, Portland, OR 97213. The listed phone number is (503) 467-4761.
What is Bethany Kingsberry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Bethany Kingsberry enrolled in Medicare?
Yes. Bethany Kingsberry 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 organizations bill Medicare for Bethany Kingsberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Kingsberry reassigns Medicare benefits to 7 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Mercy Clinic Oklahoma Communities (Oklahoma City, OK), Ou Health Partners, Inc (Oklahoma City, OK), Signify Health, LLC (Dallas, TX) and 2 more organizations, listed in the Medicare section above. Each 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 Bethany Kingsberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethany Kingsberry accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Bethany Kingsberry 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 Bethany Kingsberry affiliated with any hospitals?
According to CMS data, Bethany Kingsberry is affiliated with Wellstar Cobb Medical Center.
When was this NPI record last updated?
The NPPES record for Bethany Kingsberry was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Bethany Kingsberry, APRN-NP · NPI 1770045767
Gerontology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1770045767 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 10036936 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 5050 NE HOYT ST STE 610, Portland, OR 97213-2985
- **Phone:** (503) 467-4761
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1194978064, Portland, OR); Providence Health & Services - Oregon (NPI 1003991845, Portland, OR); Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK); Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK); Signify Health, LLC (NPI 1689158487, Dallas, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770045767) · Data from the CMS NPPES public registry.