BETHANY JAYNE FARR MD, MPH
NPI 1679991269
Surgery - Pediatric Surgery in Minneapolis, MN

Q: What is Bethany Farr's NPI number?

The NPI number for Bethany Farr is 1679991269. It was assigned to this individual provider in the NPPES registry on April 1, 2014. The provider is also known as Bethany J Zimmerman.

Q: What is Bethany Farr's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Farr was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 01, 2014PECOS Enrolled

2530 CHICAGO AVE STE 550, MINNEAPOLIS, MN 55404(612) 813-8000 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, Dec 12, 2024, Jul 11, 2020 (3 updates tracked since 2020).

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About Bethany Jayne Farr Md, Mph NPPES

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

BETHANY JAYNE FARR MD, MPH (NPI 1679991269) is an individual pediatric surgery provider in Minneapolis, Minnesota, licensed in Minnesota (77170) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679991269

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameBETHANY JAYNE FARRCredential: MD, MPH

Location Address2530 CHICAGO AVE STE 550Minneapolis, MN 55404-4293

Mailing Address1542 Tulane Ave, 734cNew Orleans, LA 70112-2865

Phone(612) 813-8000

Sole ProprietorNo

Enumeration DateApril 1, 2014

Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1679991269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in MN · 77170✔ Licensed in AR · E-15176

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License E-15476 (AR)

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License E-15176 (AR)

2530 CHICAGO AVE STE 550, Minneapolis, MN 55404

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Other Names 1

Former Name (1)Bethany J Zimmerman

Other Identifiers 1

Medicaid2362640LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Jayne Farr Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

ERICA WADE LUNDBERG APRN

Nurse Practitioner (Pediatrics)