Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Joy Mello, NP-C

Individual provider Family Nurse Practitioner · NPI 1033479696

Bethany Joy Mello, NP-C is a Nurse Practitioner in Eagle, Idaho. Qualified in 2011, 15 years ago. Practices with Gary Gregerson MD PA, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

951 E Plaza Dr Ste 170
Eagle, ID 83616-6569
Phone: (208) 939-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1639A (ID)
Registered Nurse Taxonomy 163W00000X · Licence 51084 (ID)

Record details

NPI number1033479696
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESJanuary 14, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Gary Gregerson Md Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Eagle