HANNAH J. BETTIS AGPCNP-BC NPI 1922596568

NPI Information

  • NPI: 1922596568
  • Provider Name: HANNAH J. BETTIS, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 751 N RUTLEDGE ST STE 1100
    SPRINGFIELD, IL
    ZIP 62702
  • Phone: (217) 545-8000

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NPI Details

Hannah J. Bettis, AGPCNP-BC is a primary care nurse practitioner in Springfield, IL with 9 years of experience. Hannah J. Bettis, AGPCNP-BC NPI is 1922596568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL
ZIP 62702-968
Phone: (217) 545-8000
Fax: (217) 545-4735

The NPI 1922596568 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 10/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology209-017548ILLINOISNo
2363LP2300XNurse PractitionerPrimary Care209-017548ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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