BETH SIMONS MDA, RD, LD
NPI 1760057038
Dietitian, Registered in Eagan, MN

Q: What is Beth Simons's NPI number?

The NPI number for Beth Simons is 1760057038. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Q: What is Beth Simons's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Beth Simons was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 20, 2021

1185 TOWN CENTRE DR STE 205, EAGAN, MN 55123(612) 871-1145(612) 870-5491 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2022, May 20, 2021 (2 updates tracked since 2021).

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About Beth Simons Mda, Rd, Ld NPPES

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

BETH SIMONS MDA, RD, LD (NPI 1760057038) is an individual dietitian, registered in Eagan, Minnesota, licensed in Minnesota (3730) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1760057038

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameBETH SIMONSCredential: MDA, RD, LD

Location Address1185 TOWN CENTRE DR STE 205Eagan, MN 55123-1370

Mailing Address927 Churchill St WStillwater, MN 55082-6605

Phone(612) 871-1145

Fax(612) 870-5491

Sole ProprietorNo

Enumeration DateMay 20, 2021

Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration

NPPES CertifiedAugust 9, 2022

✔ NPI 1760057038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MN · 3730

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1185 TOWN CENTRE DR STE 205, Eagan, MN 55123

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Simons Mda, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Beth Simons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mngi Digestive Health, P.A.

12 mi

Gastroenterology

3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Mngi Digestive Health PA
322 clinicians in this Medicare group

NPI 1609804541 (612) 871-1145

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 15

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

KATHRYN KEMPE O'MORCHOE PA-C

Physician Assistant

1185 TOWN CENTRE DR STE 205
EAGAN, MN 55123

Dakota County (612) 871-1145

BRENNA WOODS PA

Physician Assistant

1185 TOWN CENTRE DR STE 205
SAINT PAUL, MN 55123

Dakota County (612) 871-1154

AMANDA LAATSCH

Physician Assistant (Medical)

1185 TOWN CENTRE DR STE 205
EAGAN, MN 55123

Dakota County (612) 871-1145

SAJAN JIV SINGH NAGPAL M.D.

Internal Medicine (Gastroenterology)

1185 TOWN CENTRE DR STE 205
EAGAN, MN 55123

Dakota County (612) 871-1145

ASHISH K TIWARI M.D.

Internal Medicine (Gastroenterology)

1185 TOWN CENTRE DR STE 205
EAGAN, MN 55123

Dakota County (612) 871-1145

KIANNA MARIE DONNELLAN PA-C

Physician Assistant

1185 TOWN CENTRE DR STE 205
EAGAN, MN 55123

Dakota County (612) 871-1145

NARESH T GUNARATNAM M.D.

Internal Medicine (Gastroenterology)

1185 TOWN CENTRE DR STE 205
EAGAN, MN 55123

Dakota County (612) 871-1145

JUSTINE WAI-WAI HAUNG

Physician Assistant (Medical)

1185 TOWN CENTRE DR STE 205
EAGAN, MN 55123

Dakota County (612) 871-1145

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 Simons's NPI number?

The NPI number for Beth Simons is 1760057038. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Beth Simons located?

Beth Simons practices at 1185 Town Centre Dr Ste 205, Eagan, MN 55123. The listed phone number is (612) 871-1145.

What is Beth Simons's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Beth Simons enrolled in Medicare?

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

Which organization bills Medicare for Beth Simons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Simons reassigns Medicare benefits to Mngi Digestive Health, P.A. (Minneapolis, 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 Simons'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 Beth Simons was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.