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BETHANY GRUPIDO RN
NPI 1164094140
Nurse Anesthetist, Certified Registered in Clarkston, MI

Active since July 11, 2021
86.01/100
CMS Quality Rating
5870 PINE KNOB RD, CLARKSTON, MI 48346(248) 705-3372 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2023, Jul 11, 2021 (2 updates tracked since 2021).

About Bethany Grupido Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY GRUPIDO RN (NPI 1164094140) is an individual nurse anesthetist, certified registered in Clarkston, Michigan, licensed in Michigan (4704292923) and active in the NPI registry since July 2021. She is affiliated with Beaumont Hospital Royal Oak and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164094140
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameBETHANY GRUPIDOCredential: RN
Location Address5870 PINE KNOB RDClarkston, MI 48346-3281
Mailing Address5870 Pine Knob RdClarkston, MI 48346-3281 · (248) 705-3372
Phone(248) 705-3372
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2021
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1164094140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704292923
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704292923 (MI)
5870 PINE KNOB RD, Clarkston, MI 48346
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Grupido Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931584166
PECOS Enrollment IDI20220923001365

Medicare Billing Reassignment

Medicare enrollment records show Bethany Grupido reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northstar Anesthesia Of Michigan III PLLC
1,005 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

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.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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 Bethany Grupido's NPI number?

The NPI number for Bethany Grupido is 1164094140. It was assigned to this individual provider in the NPPES registry on July 11, 2021.

Where is Bethany Grupido located?

Bethany Grupido practices at 5870 Pine Knob Rd, Clarkston, MI 48346. The listed phone number is (248) 705-3372.

What is Bethany Grupido's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Bethany Grupido enrolled in Medicare?

Yes. Bethany Grupido is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethany Grupido's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Grupido reassigns Medicare benefits to Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Bethany Grupido's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Grupido accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bethany Grupido as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bethany Grupido affiliated with any hospitals?

According to CMS data, Bethany Grupido is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Bethany Grupido was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.