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

Bethany Kingsberry, APRN-NP

Individual provider Registered Nurse · NPI 1770045767

Bethany Kingsberry, APRN-NP is a Nurse Practitioner in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Oregon.

Years since qualifying
6
Licensed in
OK, OR
In the registry since
2019
Specialties on file
6
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5050 NE Hoyt St Ste 610
Portland, OR 97213-2985
Phone: (503) 467-4761
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4140 W Memorial Rd Ste 621, Oklahoma City, OK 73120-8365 — (405) 749-4231

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 10036936 (OR)
Registered Nurse Taxonomy 163W00000X · Licence R0121579 (OK)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence R0121579 (OK)
Nurse Practitioner Taxonomy 363L00000X · Licence 200647 (OK)
Nurse Practitioner Taxonomy 363L00000X · Licence 10036936 (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 200647 (OK)

Record details

NPI number1770045767
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-NP
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland