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BETH A. ANDERSEN MD
NPI 1750465472
Urology - Pediatric Urology in Knoxville, TN

Active since October 25, 2006PECOS Enrolled
2100 CLINCH AVE STE 120, KNOXVILLE, TN 37916(865) 637-7290 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2024, Apr 26, 2022, Apr 5, 2021 (3 updates tracked since 2021).

About Beth A. Andersen Md NPPES

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

BETH A. ANDERSEN MD (NPI 1750465472) is an individual pediatric urology provider in Knoxville, Tennessee, licensed in Oregon (MD223301) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1750465472
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameBETH A. ANDERSENCredential: MD
Location Address2100 CLINCH AVE STE 120Knoxville, TN 37916-2288
Mailing Address2219 Broadway ESeattle, WA 98102-4135 · (206) 499-9585
Phone(865) 637-7290
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1750465472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in OR · MD223301✔ Licensed in WA · WA00034550✔ Licensed in ID · 5961565
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License G186314 (CA), MD00034550 (WA)
2100 CLINCH AVE STE 120, Knoxville, TN 37916
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11101 Madison St Ste 800Seattle, WA 98104-1307 · Phone (206) 215-2700 · Fax (206) 215-2702
Location 23716 Standridge DrThe Colony, TX 75056-4566 · Phone (469) 249-9000
Location 39300 Valley Childrens Pl # Sc05Madera, CA 93636-8761 · Phone (559) 353-5700
Location 4305 E Jefferson StBoise, ID 83712-6231 · Phone (208) 381-6196 · Fax (208) 381-6199
Location 5501 N Graham St Ste 300Portland, OR 97227-2008 · Phone (503) 413-4300

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth A. Andersen Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Beth Andersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Treasure Valley LLC
1,755 mi
Family Medicine
840 N 4TH E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1417297821 (208) 587-1850
Multicare Health System
1,879 mi
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1336902345 (509) 530-4260
Legacy Emanuel Hospital & Health Center
2,114 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

SYDNEY KEENER FNP-BC
Nurse Practitioner (Family)
2100 CLINCH AVE STE 120
KNOXVILLE, TN 37916
Knox County (865) 637-7290
BLAIR KAITLYN COPPENGER PA-C
Physician Assistant
2100 CLINCH AVE STE 120
KNOXVILLE, TN 37916
Knox County (865) 804-2107

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 Andersen's NPI number?

The NPI number for Beth Andersen is 1750465472. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Beth Andersen located?

Beth Andersen practices at 2100 Clinch Ave Ste 120, Knoxville, TN 37916. The listed phone number is (865) 637-7290.

What is Beth Andersen's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Beth Andersen enrolled in Medicare?

Yes. Beth Andersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Beth Andersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Andersen reassigns Medicare benefits to 3 organizations: St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID), Multicare Health System (Spokane Valley, WA) and Legacy Emanuel Hospital & Health Center (Portland, OR). 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 Beth Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beth Andersen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Beth Andersen 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.

When was this NPI record last updated?

The NPPES record for Beth Andersen was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.