GRETCHEN SOBERAY BETTS DO
NPI 1124292578
Family Medicine in Crystal, MN
About Gretchen Soberay Betts Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRETCHEN SOBERAY BETTS DO (NPI 1124292578) is an individual family medicine provider in Crystal, Minnesota, licensed in Minnesota (51283) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gretchen Soberay Betts Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Gretchen Soberay Betts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gretchen Soberay Betts's NPI number?
The NPI number for Gretchen Soberay Betts is 1124292578. It was assigned to this individual provider in the NPPES registry on April 16, 2008.
Where is Gretchen Soberay Betts located?
Gretchen Soberay Betts practices at 5502 W Broadway Ave Northwest Family Physicians, Crystal, MN 55428. The listed phone number is (763) 504-6500.
What is Gretchen Soberay Betts's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gretchen Soberay Betts enrolled in Medicare?
Yes. Gretchen Soberay Betts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gretchen Soberay Betts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Soberay Betts reassigns Medicare benefits to Premier Obgyn Of Minnesota PLLC (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gretchen Soberay Betts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gretchen Soberay Betts affiliated with any hospitals?
According to CMS data, Gretchen Soberay Betts is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Gretchen Soberay Betts was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gretchen Soberay Betts, DO · NPI 1124292578
Family Medicine physician in Crystal, Minnesota. Individual provider, active in the CMS NPPES registry since April 16, 2008.
## Identity
- **NPI:** 1124292578 (Entity type: Individual)
- **Enumerated:** April 16, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 51283 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5502 W BROADWAY AVE, NORTHWEST FAMILY PHYSICIANS, Crystal, MN 55428-3508
- **Phone:** (763) 504-6500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Premier Obgyn Of Minnesota PLLC (NPI 1801946223, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City College Of Medicine And Surgery, class of 2006
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124292578) · Data from the CMS NPPES public registry.