Bethany Mello (NPI# 1033479696, PAC ID# 1850684309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033479696 |
| PAC ID by PECOS | 1850684309 |
| Professional Enrollment ID | I20160721001678 |
| Full Name | Bethany Mello |
| Organization Legal Name | GARY GREGERSON, M.D., P.A. |
| Address |
16111 N Brinson St Suite 110 Nampa ID 83687-5509 |
| Phone Number | 2084689400 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173838141 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 | 2084689400 | GARY GREGERSON, M.D., P.A. |
| Organization Legal Name | GARY GREGERSON, M.D., P.A. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle M Sutton | Nurse Practitioner | Gary Gregerson, M.d., P.a. | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 |
| Gary N Gregerson | Obstetrics/gynecology | Gary Gregerson, M.d., P.a. | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 |
| Jane M Weis | Certified Nurse Midwife | Gary Gregerson, M.d., P.a. | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 |
| Street Address |
16111 N BRINSON ST SUITE 110 |
| City | NAMPA |
| State | ID |
| Zip | 83687-5509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle M Sutton | Nurse Practitioner | Gary Gregerson, M.d., P.a. | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 |
| Gary N Gregerson | Obstetrics/gynecology | Gary Gregerson, M.d., P.a. | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 |
| Jane M Weis | Certified Nurse Midwife | Gary Gregerson, M.d., P.a. | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn A Benton | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jeffrey Ryan Moreno | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Allyson A Bates | Nurse Practitioner | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Juliette E Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jynnah Leigh Snow | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Janine M Franco | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Michelle Chin | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Dustan T Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Rick A Heikkila | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Christoffer A Spoja | Internal Medicine | Sound Physicians of Idaho | 4300 E Flamingo Ave, Nampa, ID 83687-3138 |
| Find all physicians in zip 83687 | |||
| City | NAMPA |
| Zip Code | 83687 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NAMPA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bethany Mello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.