BETHANY MARIE UNDIS CRNA
NPI 1801974878
Nurse Anesthetist, Certified Registered in Cambridge, MN
About Bethany Marie Undis Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY MARIE UNDIS CRNA (NPI 1801974878) is an individual nurse anesthetist, certified registered in Cambridge, Minnesota, licensed in Minnesota (R-111730-3) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Marie Undis Crna 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 Reassignments
5Medicare enrollment records show Bethany Undis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cambridge, MN 55008
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Minneapolis, MN 55413
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Mngi Digestive Health PA
- 322 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Pierz, MN 56364
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Josephs Medical Center
- 340 clinicians in this Medicare group
Baxter, MN 56425
- Reassigned Medicare billing, Minnesota enrollment
- 21 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Joseph's Medical Center
Acute Care Hospitals · Brainerd, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
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 Bethany Undis's NPI number?
The NPI number for Bethany Undis is 1801974878. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Bethany Undis located?
Bethany Undis practices at 701 Dellwood St S, Cambridge, MN 55008. The listed phone number is (763) 689-7700.
What is Bethany Undis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Bethany Undis enrolled in Medicare?
Yes. Bethany Undis 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 organizations bill Medicare for Bethany Undis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Undis reassigns Medicare benefits to 5 organizations: Allina Health System (Cambridge, MN), Mngi Digestive Health, P.A. (Minneapolis, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN), St. Joseph's Medical Center (Pierz, MN) and Brainerd Lakes Surgery Center L L C (Baxter, MN). 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 Bethany Undis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bethany Undis affiliated with any hospitals?
According to CMS data, Bethany Undis is affiliated with Essentia Health St Joseph's Medical Center.
When was this NPI record last updated?
The NPPES record for Bethany Undis was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Bethany Marie Undis, CRNA · NPI 1801974878
Nurse Anesthetist, Certified Registered physician in Cambridge, Minnesota. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1801974878 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R-111730-3 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 DELLWOOD ST S, Cambridge, MN 55008-1920
- **Phone:** (763) 689-7700 · **Fax:** (763) 689-7941
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1013194729, Cambridge, MN); Mngi Digestive Health, P.A. (NPI 1609804541, Minneapolis, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); St. Joseph's Medical Center (NPI 1568418861, Pierz, MN); Brainerd Lakes Surgery Center L L C (NPI 1750378295, Baxter, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** March 4, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 430005359
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Source: [NPI Profile](https://npiprofile.com/npi/1801974878) · Data from the CMS NPPES public registry.