BETHESDA FAMILY PRACTICE LLC
NPI 1932734225
Nurse Practitioner - Family in Northlake, TX

Active since March 06, 2020
3101 WILLOW CREEK CT, NORTHLAKE, TX 76226(214) 395-8659(833) 966-2321 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 13, 2025, Mar 6, 2020 (2 updates tracked since 2020).

About Bethesda Family Practice Llc NPPES

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

BETHESDA FAMILY PRACTICE LLC (NPI 1932734225) is a healthcare organization registered as a family in Northlake, Texas and active in the NPI registry since March 2020. The organization lists Kehinde R Amosun, Provider, as its authorized official.

NPPES Registry Identity

NPI1932734225
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBETHESDA FAMILY PRACTICE LLC
Location Address3101 WILLOW CREEK CTNorthlake, TX 76226-4061
Mailing Address3101 Willow Creek CtNorthlake, TX 76226-4061 · (214) 395-8659 · Fax (833) 966-2321
Fax(833) 966-2321
Organization SubpartNo
Authorized OfficialKehinde R AmosunProvider · (214) 395-8659
Enumeration DateMarch 6, 2020
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1932734225 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
3101 WILLOW CREEK CT, Northlake, TX 76226

Other Identifiers 1

Other08875754TX · Divers License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethesda Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bethesda Family Practice LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1295376630
873 S STEMMONS FWY
Lewisville, TX 75067
(214) 395-8659
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1710624143
873 S STEMMONS FWY STE 100
Lewisville, TX 75067
(713) 516-3849
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bethesda Family Practice LLC's NPI number?

The NPI number for Bethesda Family Practice LLC is 1932734225. It was assigned to this organization in the NPPES registry on March 6, 2020.

Where is Bethesda Family Practice LLC located?

Bethesda Family Practice LLC is located at 3101 Willow Creek Ct, Northlake, TX 76226. The listed phone number is (214) 395-8659.

What is Bethesda Family Practice LLC's specialty?

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

Is Bethesda Family Practice LLC enrolled in Medicare?

Yes. Bethesda Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethesda Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bethesda Family Practice LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bethesda Family Practice LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Bethesda Family Practice LLC 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 Bethesda Family Practice LLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.