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BETHANY NICOLE VERNON AGNP-C
NPI 1841083623
Nurse Practitioner - Primary Care in Southlake, TX

Active since May 26, 2025PECOS EnrolledAccepts Medicare Assignment
2625 E SOUTHLAKE BLVD STE 160, SOUTHLAKE, TX 76092(817) 468-7200(817) 468-7201 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bethany Nicole Vernon Agnp-c NPPES

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

BETHANY NICOLE VERNON AGNP-C (NPI 1841083623) is an individual primary care provider in Southlake, Texas, licensed in Texas (1194748) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1841083623
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameBETHANY NICOLE VERNONCredential: AGNP-C
Location Address2625 E SOUTHLAKE BLVD STE 160Southlake, TX 76092-8042
Mailing Address157 Redwood DrHighland Village, TX 75077-6921 · (361) 222-1711
Phone(817) 468-7200
Fax(817) 468-7201
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 26, 2025
NPPES CertifiedMay 26, 2025
✔ NPI 1841083623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · 1194748
2625 E SOUTHLAKE BLVD STE 160, Southlake, TX 76092
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Nicole Vernon Agnp-c 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 ID6305356700
PECOS Enrollment IDI20250605002754
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 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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 Vernon's NPI number?

The NPI number for Bethany Vernon is 1841083623. It was assigned to this individual provider in the NPPES registry on May 26, 2025.

Where is Bethany Vernon located?

Bethany Vernon practices at 2625 E Southlake Blvd Ste 160, Southlake, TX 76092. The listed phone number is (817) 468-7200.

What is Bethany Vernon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Bethany Vernon enrolled in Medicare?

Yes. Bethany Vernon 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 Bethany Vernon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Bethany Vernon 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 Bethany Vernon was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.