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

Mary Beth Bottorf, APRN

Individual provider Nurse Practitioner · NPI 1568151124

Mary Beth Bottorf, APRN is a Nurse Practitioner in Lecanto, Florida. Qualified in 2022, 4 years ago. Practices with Tampa General Medical Group Inc, a 352-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3264 W Audubon Park Path
Lecanto, FL 34461-8450
Phone: (352) 628-7671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11023736 (FL)

Record details

NPI number1568151124
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tampa General Medical Group Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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