ANGELA SUZANNE BOTHWELL
NPI 1649539743
Nurse Anesthetist, Certified Registered in Coon Rapids, MN
About Angela Suzanne Bothwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA SUZANNE BOTHWELL (NPI 1649539743) is an individual nurse anesthetist, certified registered in Coon Rapids, Minnesota, licensed in Minnesota (089228) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Angela Suzanne Bothwell 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 Reassignments
2Medicare enrollment records show Angela Bothwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55413
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Mngi Digestive Health PA
- 322 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 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 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
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 Angela Bothwell's NPI number?
The NPI number for Angela Bothwell is 1649539743. It was assigned to this individual provider in the NPPES registry on May 9, 2012.
Where is Angela Bothwell located?
Angela Bothwell practices at 8990 Springbrook Dr NW Ste 250, Coon Rapids, MN 55433. The listed phone number is (763) 398-1176.
What is Angela Bothwell's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Angela Bothwell enrolled in Medicare?
Yes. Angela Bothwell 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 Angela Bothwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Bothwell reassigns Medicare benefits to 2 organizations: Mngi Digestive Health, P.A. (Minneapolis, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, 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 Angela Bothwell'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 Angela Bothwell was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Angela Suzanne Bothwell · NPI 1649539743
Nurse Anesthetist, Certified Registered physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since May 9, 2012.
## Identity
- **NPI:** 1649539743 (Entity type: Individual)
- **Enumerated:** May 9, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 089228 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8990 SPRINGBROOK DR NW STE 250, Coon Rapids, MN 55433-5884
- **Phone:** (763) 398-1176
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mngi Digestive Health, P.A. (NPI 1609804541, Minneapolis, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 9, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1649539743) · Data from the CMS NPPES public registry.