Individual provider

Gretchen Soberay Betts, DO

Family Medicine Physician Medicare enrolled

Gretchen Soberay Betts, DO is a Family Medicine Physician in Crystal, MN, registered under NPI 1124292578.

Getting there

The practice address on file is 5502 W BROADWAY AVE NORTHWEST FAMILY PHYSICIANS, Crystal, MN 55428. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5502 W BROADWAY AVE NORTHWEST FAMILY PHYSICIANS, Crystal, MN 55428 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
51283 MN Family Medicine Physician primary
TP653 KY Family Medicine Physician
2019031609 MO Family Medicine Physician
4301119382 MI Family Medicine Physician
DO-05412 IA Family Medicine Physician
2020 NE Family Medicine Physician
11518 SD Family Medicine Physician
D02923 ME Family Medicine Physician
DR.0062516 CO Family Medicine Physician
299885 NY Family Medicine Physician

Licences are recorded in 10 states: MN, KY, MO, MI, IA, NE, SD, ME, CO, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
0840350757

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 10 states

This provider holds licences in 10 states: Colorado, Iowa, Kentucky, Maine, Michigan, Minnesota, Missouri, Nebraska, New York and South Dakota. The practice address on file is in Crystal, MN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
DR.0062516
Specialty
Family Medicine Physician
Verify with the CO board →
IA Iowa
Licence
DO-05412
Specialty
Family Medicine Physician
Verify with the IA board →
KY Kentucky
Licence
TP653
Specialty
Family Medicine Physician
Verify with the KY board →
ME Maine
Licence
D02923
Specialty
Family Medicine Physician
Verify with the ME board →
MI Michigan
Licence
4301119382
Specialty
Family Medicine Physician
Verify with the MI board →
MN Minnesota practice address
Licence
51283
Specialty
Family Medicine Physician
Verify with the MN board →
MO Missouri
Licence
2019031609
Specialty
Family Medicine Physician
Verify with the MO board →
NE Nebraska
Licence
2020
Specialty
Family Medicine Physician
Verify with the NE board →
NY New York
Licence
299885
Specialty
Family Medicine Physician
Verify with the NY board →
SD South Dakota
Licence
11518
Specialty
Family Medicine Physician
Verify with the SD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 51283 MN primary
207Q00000X Family Medicine Physician TP653 KY
207Q00000X Family Medicine Physician 2019031609 MO
207Q00000X Family Medicine Physician 4301119382 MI
207Q00000X Family Medicine Physician DO-05412 IA
207Q00000X Family Medicine Physician 2020 NE
207Q00000X Family Medicine Physician 11518 SD
207Q00000X Family Medicine Physician D02923 ME
207Q00000X Family Medicine Physician DR.0062516 CO
207Q00000X Family Medicine Physician 299885 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124292578 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 16, 2008
Last updatedOct 16, 2024
StatusActive
Sole proprietorNo
CredentialDO
Practice address 5502 W BROADWAY AVE
NORTHWEST FAMILY PHYSICIANS
Crystal, MN 55428
(763) 504-6500
This record was updated on Oct 16, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1124292578 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 2 9 2 5 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 4 9 4 5 5

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124292578?
NPI 1124292578 is the National Provider Identifier assigned to Gretchen Soberay Betts, DO in Crystal, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Gretchen Soberay Betts, DO?
The phone number on file with NPPES is (763) 504-6500, last updated Oct 16, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Gretchen Soberay Betts, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124292578 a valid number?
Yes. 1124292578 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.