Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hannah J. Bettis, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1922596568

Hannah J. Bettis, AGPCNP-BC is a Nurse Practitioner in Springfield, Illinois. Graduated from Saint Louis University School of Medicine in 2017, 9 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

751 N Rutledge St Ste 1100
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-4735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 209-017548 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209-017548 (IL)

Record details

NPI number1922596568
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESOctober 18, 2020
Certification dateOctober 18, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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