FANTA BERETAY
NPI 1801045695
Nurse Practitioner - Psychiatric/Mental Health in Grove City, OH

Active since September 16, 2008PECOS EnrolledAccepts Medicare Assignment
5783 DAFFODIL CT, GROVE CITY, OH 43123(614) 991-4895(614) 991-4895 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Mar 11, 2021, Apr 2, 2020 (3 updates tracked since 2020).

About Fanta Beretay NPPES

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

FANTA BERETAY (NPI 1801045695) is an individual psychiatric/mental health provider in Grove City, Ohio, licensed in Ohio (APRN.CNP.020429) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1801045695
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFANTA BERETAY
Location Address5783 DAFFODIL CTGrove City, OH 43123-9456
Mailing Address5783 Daffodil CtGrove City, OH 43123-9456 · (614) 493-9884 · Fax (614) 991-4895
Fax(614) 991-4895
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJune 28, 20233 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
NPI 1801045695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.020429
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRNCNP020429 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.020429 (OH)
5783 DAFFODIL CT, Grove City, OH 43123

Accepted 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

Fanta Beretay 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 ID5597990374
PECOS Enrollment IDI20170630002685
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 43123 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

Home Health
5783 DAFFODIL CT
GROVE CITY, OH 43123

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 Fanta Beretay's NPI number?

The NPI number for Fanta Beretay is 1801045695. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Fanta Beretay located?

Fanta Beretay practices at 5783 Daffodil Ct, Grove City, OH 43123. The listed phone number is (614) 991-4895.

What is Fanta Beretay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Fanta Beretay enrolled in Medicare?

Yes. Fanta Beretay 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.

What insurance does Fanta Beretay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Texas and CareSource and 5 other insurers list Fanta Beretay 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.

When was this NPI record last updated?

The NPPES record for Fanta Beretay was last updated on June 28, 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.