BETHANY VAN DUSSELDORP
NPI 1477484228
Physical Therapist in Saint Cloud, MN

Active since May 28, 2026Accepts Medicare Assignment
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303(320) 252-2422 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bethany Van Dusseldorp NPPES

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

BETHANY VAN DUSSELDORP (NPI 1477484228) is an individual physical therapist in Saint Cloud, Minnesota and active in the NPI registry since May 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1477484228
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameBETHANY VAN DUSSELDORP
Location Address1900 CENTRACARE CIRSaint Cloud, MN 56303-5000
Mailing Address551 Victory Ave Apt 213Sartell, MN 56377-4799
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1477484228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1900 CENTRACARE CIR, Saint Cloud, MN 56303

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

Bethany Van Dusseldorp 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.

PECOS PAC ID5991269912
PECOS Enrollment IDI20260710002045

Medicare Billing Reassignments

2

Medicare enrollment records show Bethany Van Dusseldorp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Community Health
1900 CENTRACARE CIR
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
Substance Abuse Treatment, Children
1572 CO RD 134
St. Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 415 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Physician Assistant
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Internal Medicine
1900 CENTRACARE CIR, SUITE 2400
SAINT CLOUD, MN 56303
Psychologist (Clinical Child & Adolescent)
1900 CENTRACARE CIR, SUITE 1325
SAINT CLOUD, MN 56303
Pharmacist
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Genetic Counselor, MS
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIR
SAINT CLOUD, MN 56303
Dietitian, Registered
1900 CENTRACARE CIR, SUITE 2500
ST CLOUD, MN 56303

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 Van Dusseldorp's NPI number?

The NPI number for Bethany Van Dusseldorp is 1477484228. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Bethany Van Dusseldorp located?

Bethany Van Dusseldorp practices at 1900 Centracare Cir, Saint Cloud, MN 56303. The listed phone number is (320) 252-2422.

What is Bethany Van Dusseldorp's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Bethany Van Dusseldorp enrolled in Medicare?

Yes. Bethany Van Dusseldorp 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 organizations bill Medicare for Bethany Van Dusseldorp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Van Dusseldorp reassigns Medicare benefits to 2 organizations: Centracare Clinic (Saint Cloud, MN) and St. Cloud Hospital (St. Cloud, MN). Each 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 Van Dusseldorp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bethany Van Dusseldorp was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.