BETHANY RUTH LORD PENNA NP
NPI 1770433211
Nurse Practitioner - Family in Minneapolis, MN

Q: What is Bethany Penna's NPI number?

The NPI number for Bethany Penna is 1770433211. It was assigned to this individual provider in the NPPES registry on February 3, 2026. The provider is also known as Bethany Ruth Lord.

Q: What is Bethany Penna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Penna was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 03, 2026PECOS EnrolledAccepts Medicare Assignment

800 E 28TH ST STE 401, MINNEAPOLIS, MN 55407(612) 863-0200(612) 863-4689 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2026, Feb 3, 2026 (2 updates tracked since 2026).

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About Bethany Ruth Lord Penna Np NPPES

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

BETHANY RUTH LORD PENNA NP (NPI 1770433211) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (13883) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770433211

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETHANY RUTH LORD PENNACredential: NP

Location Address800 E 28TH ST STE 401Minneapolis, MN 55407-3723

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(612) 863-0200

Fax(612) 863-4689

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 3, 2026

Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1770433211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 13883

800 E 28TH ST STE 401, Minneapolis, MN 55407

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Other Names 1

Former Name (1)Bethany Ruth Lord

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Bethany Ruth Lord Penna Np 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.

PECOS PAC ID2769959378

PECOS Enrollment IDI20260430002542

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 Reassignment

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

Allina Health System

Same address

Internal Medicine

800 E 28TH ST
Minneapolis, MN 55407

Reassigned Medicare billing, Minnesota enrollment
3,733 clinicians in this Medicare group

NPI 1053354985 (612) 863-4762

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. DOMINIKA DULAK M.D.

Internal Medicine (Hematology & Oncology)