HANNAH J. BETTIS AGPCNP-BC
NPI 1922596568
Nurse Practitioner - Primary Care in Springfield, IL
About Hannah J. Bettis Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HANNAH J. BETTIS AGPCNP-BC (NPI 1922596568) is an individual primary care provider in Springfield, Illinois, licensed in Illinois (209-017548) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Saint Louis University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Hannah J. Bettis Agpcnp-bc 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
2Medicare enrollment records show Hannah Bettis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 645 clinicians in this Medicare group
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 262 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.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
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 Hannah Bettis's NPI number?
The NPI number for Hannah Bettis is 1922596568. It was assigned to this individual provider in the NPPES registry on April 30, 2018. The provider is also known as Hannah J. Rothe.
Where is Hannah Bettis located?
Hannah Bettis practices at 751 N Rutledge St Ste 1100, Springfield, IL 62702. The listed phone number is (217) 545-8000.
What is Hannah Bettis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Hannah Bettis enrolled in Medicare?
Yes. Hannah Bettis 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 Hannah Bettis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hannah Bettis reassigns Medicare benefits to 2 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL) and Board Of Trustees Of Southern Illinois University (Springfield, IL). 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 Hannah Bettis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Hannah Bettis affiliated with any hospitals?
According to CMS data, Hannah Bettis is affiliated with Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Hannah Bettis was last updated on October 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Hannah J. Bettis, AGPCNP-BC · NPI 1922596568
Primary Care physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since April 30, 2018.
## Identity
- **NPI:** 1922596568 (Entity type: Individual)
- **Enumerated:** April 30, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 209-017548 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 N RUTLEDGE ST STE 1100, Springfield, IL 62702-4968
- **Phone:** (217) 545-8000 · **Fax:** (217) 545-4735
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Siu Physicians & Surgeons, Inc (NPI 1558385989, Springfield, IL); Board Of Trustees Of Southern Illinois University (NPI 1396097960, Springfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** October 18, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1922596568) · Data from the CMS NPPES public registry.