GRETCHEN SOBERAY BETTS DO NPI 1124292578

NPI Information

  • NPI: 1124292578
  • Provider Name: GRETCHEN SOBERAY BETTS, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5502 W BROADWAY AVE
    NORTHWEST FAMILY PHYSICIANS
    CRYSTAL, MN
    ZIP 55428
  • Phone: (763) 504-6500

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NPI Details

Gretchen Soberay Betts, DO is a family medicine in Crystal, MN with 19 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gretchen Soberay Betts, DO NPI is 1124292578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2006

The provider's business location address is:

5502 W BROADWAY AVE
NORTHWEST FAMILY PHYSICIANS
CRYSTAL, MN
ZIP 55428-508
Phone: (763) 504-6500

The NPI 1124292578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 4/16/2008 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineTP653KENTUCKYNo
2207Q00000XFamily Medicine2019031609MISSOURINo
3207Q00000XFamily Medicine4301119382MICHIGANNo
4207Q00000XFamily MedicineDO-05412IOWANo
5207Q00000XFamily Medicine2020NEBRASKANo
6207Q00000XFamily Medicine11518SOUTH DAKOTANo
7207Q00000XFamily MedicineD02923MAINENo
8207Q00000XFamily MedicineDR.0062516COLORADONo
9207Q00000XFamily Medicine299885NEW YORKNo
10207Q00000XFamily Medicine51283MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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