ELYSSA BETTENBROCK
NPI 1871316984
Nurse Practitioner - Family in Andalusia, AL

Active since November 06, 2024PECOS EnrolledAccepts Medicare Assignment
508 E THREE NOTCH ST STE 100, ANDALUSIA, AL 36420(334) 362-2015 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elyssa Bettenbrock NPPES

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

ELYSSA BETTENBROCK (NPI 1871316984) is an individual family provider in Andalusia, Alabama, licensed in Alabama (3-002068) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871316984
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELYSSA BETTENBROCK
Location Address508 E THREE NOTCH ST STE 100Andalusia, AL 36420-3128
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866 · (205) 545-5088
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 6, 2024
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1871316984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 3-002068
508 E THREE NOTCH ST STE 100, Andalusia, AL 36420

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

Elyssa Bettenbrock 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 ID2769910355
PECOS Enrollment IDI20250109003782
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 36420 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 2

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

Nurse Practitioner (Family)
508 E THREE NOTCH ST STE 100
ANDALUSIA, AL 36420
Nurse Practitioner (Family)
508 E THREE NOTCH ST STE 100
ANDALUSIA, AL 36420

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 Elyssa Bettenbrock's NPI number?

The NPI number for Elyssa Bettenbrock is 1871316984. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Elyssa Bettenbrock located?

Elyssa Bettenbrock practices at 508 E Three Notch St Ste 100, Andalusia, AL 36420. The listed phone number is (334) 362-2015.

What is Elyssa Bettenbrock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elyssa Bettenbrock enrolled in Medicare?

Yes. Elyssa Bettenbrock 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 Elyssa Bettenbrock accept?

Health plans from Blue Cross and Blue Shield of Alabama list Elyssa Bettenbrock 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 Elyssa Bettenbrock was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.