ETHANY LEA CULLEN MD
NPI 1679771497
Radiology - Diagnostic Radiology in Byron, MN
About Ethany Lea Cullen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHANY LEA CULLEN MD (NPI 1679771497) is an individual diagnostic radiology provider in Byron, Minnesota, licensed in Minnesota (51214) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Ethany Lea Cullen Md 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 Ethany Cullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bismarck, ND 58504
- Reassigned Medicare billing, Minnesota and North Dakota enrollments
- 13 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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi St Alexius Health
Acute Care Hospitals · Bismarck, NDTrinity Hospitals
Acute Care Hospitals · Minot, NDSanford Medical Center Bismarck
Acute Care Hospitals · Bismarck, NDMckenzie County Healthcare Systems Inc
Critical Access Hospitals · Watford City, NDLinton Hospital - Cah
Critical Access Hospitals · Linton, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ethany Cullen's NPI number?
The NPI number for Ethany Cullen is 1679771497. It was assigned to this individual provider in the NPPES registry on July 3, 2007.
Where is Ethany Cullen located?
Ethany Cullen practices at 421 12th St NW, Byron, MN 55920. The listed phone number is (952) 595-1100.
What is Ethany Cullen's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Ethany Cullen enrolled in Medicare?
Yes. Ethany Cullen 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 Ethany Cullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethany Cullen reassigns Medicare benefits to Sanford Bismarck (Bismarck, ND). 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 Ethany Cullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethany Cullen accept?
Health plans from Blue Cross Blue Shield of North Dakota list Ethany Cullen 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 Ethany Cullen affiliated with any hospitals?
According to CMS data, Ethany Cullen is affiliated with Chi St Alexius Health, Trinity Hospitals, Sanford Medical Center Bismarck, Mckenzie County Healthcare Systems Inc and Linton Hospital - Cah.
When was this NPI record last updated?
The NPPES record for Ethany Cullen was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ethany Lea Cullen, MD · NPI 1679771497
Diagnostic Radiology physician in Byron, Minnesota. Individual provider, active in the CMS NPPES registry since July 3, 2007.
## Identity
- **NPI:** 1679771497 (Entity type: Individual)
- **Enumerated:** July 3, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 51214 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 421 12TH ST NW, Byron, MN 55920-1391
- **Phone:** (952) 595-1100 · **Fax:** (612) 294-4903
## 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:** Sanford Bismarck (NPI 1811941172, Bismarck, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 22, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1679771497) · Data from the CMS NPPES public registry.