BETH DOUGHERTY AGNP-C
NPI 1558757641
Nurse Practitioner in St Louis Park, MN
About Beth Dougherty Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH DOUGHERTY AGNP-C (NPI 1558757641) is an individual nurse practitioner in St Louis Park, Minnesota, licensed in Minnesota (CNP3840) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Edina.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Beth Dougherty Agnp-c 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 Beth Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55426 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 19
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
SAINT LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
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 Beth Dougherty's NPI number?
The NPI number for Beth Dougherty is 1558757641. It was assigned to this individual provider in the NPPES registry on April 15, 2015.
Where is Beth Dougherty located?
Beth Dougherty practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-3230.
What is Beth Dougherty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Beth Dougherty enrolled in Medicare?
Yes. Beth Dougherty 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 Beth Dougherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beth Dougherty reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, 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 Beth Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Beth Dougherty accept?
Health plans from HealthPartners list Beth Dougherty 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 Beth Dougherty affiliated with any hospitals?
According to CMS data, Beth Dougherty is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Beth Dougherty was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Beth Dougherty, AGNP-C · NPI 1558757641
Nurse Practitioner physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since April 15, 2015.
## Identity
- **NPI:** 1558757641 (Entity type: Individual)
- **Enumerated:** April 15, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** CNP3840 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3931 LOUISIANA AVE S, St Louis Park, MN 55426-5000
- **Phone:** (952) 993-3230
## 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:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1558757641) · Data from the CMS NPPES public registry.