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

Bethany Nicole Vernon, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1841083623

Bethany Nicole Vernon, AGNP-C is a Nurse Practitioner in Southlake, Texas. Qualified in 2024, 2 years ago. Practices with Gastroenterology Practice Associates, PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025

Practice location Address checks out

2625 E Southlake Blvd Ste 160
Southlake, TX 76092-8042
Phone: (817) 468-7200
Fax: (817) 468-7201
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1194748 (TX)

Record details

NPI number1841083623
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gastroenterology Practice Associates, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southlake