MRS. BETHANY ANN FETZER FNP-C
NPI 1902332315
Nurse Practitioner - Family in Mesa, AZ

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
4121 E VALLEY AUTO DR STE 110, MESA, AZ 85206(480) 892-1122 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Bethany Ann Fetzer Fnp-c NPPES

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

MRS. BETHANY ANN FETZER FNP-C (NPI 1902332315) is an individual family provider in Mesa, Arizona, licensed in Arizona (AP10074) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902332315
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BETHANY ANN FETZERCredential: FNP-C
Location Address4121 E VALLEY AUTO DR STE 110Mesa, AZ 85206-4632
Mailing Address4121 E Valley Auto Drive # 110Mesa, AZ 85206 · (480) 892-1122
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 4, 2017
✔ NPI 1902332315 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 AZ · AP10074
4121 E VALLEY AUTO DR STE 110, Mesa, AZ 85206

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

Mrs. Bethany Ann Fetzer Fnp-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 ID1951662618
PECOS Enrollment IDI20180221001658
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Bethany Fetzer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
358 E JAVELINA AVE STE 103
Mesa, AZ 85210
  • Reassigned Medicare billing, Arizona enrollment
  • 131 clinicians in this Medicare group
Psychiatry
1030 E GUADALUPE RD
Tempe, AZ 85283
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group
Community/Behavioral Health
50 N. HOPI STREET
Springerville, AZ 85938
  • Reassigned Medicare billing, Arizona enrollment
  • 17 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
4121 E VALLEY AUTO DR STE 110
MESA, AZ 85206

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 Fetzer's NPI number?

The NPI number for Bethany Fetzer is 1902332315. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Bethany Fetzer located?

Bethany Fetzer practices at 4121 E Valley Auto Dr Ste 110, Mesa, AZ 85206. The listed phone number is (480) 892-1122.

What is Bethany Fetzer's specialty?

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

Is Bethany Fetzer enrolled in Medicare?

Yes. Bethany Fetzer 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 Fetzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Fetzer reassigns Medicare benefits to 3 organizations: Community Bridges, Inc. (Mesa, AZ), Transitions Center PLLC (Tempe, AZ) and Little Colorado Behavioral Health Center Inc. (Springerville, AZ). 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 Fetzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Fetzer accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Bethany Fetzer 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 Fetzer was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.