Individual provider Active NPI

Beth Marie Bechtold, CNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baxter, MN
National Provider Identifier
1255178117
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11782 Issued in MN
Practice address
7115 Forthun Rd
Baxter, MN 56425-8597
Phone
(218) 454-0090
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11782 MN Primary

Addresses

Primary practice location

7115 Forthun Rd
Baxter, MN 56425-8597

Mailing address

37535 County Road 155
Avon, MN 56310-8737
Phone (320) 333-3473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002592 MN Practitioner - Nurse Practitioner 0345780672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodland CentersGroup PAC ID 7416860457, 39 clinicians

Practice addresses (Care Compare)

1125 SE 6TH St
Willmar, MN 56201-4675
Phone (320) 235-4613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado PC CurrentSince Sep 30, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Sep 30, 2024 Accepting new patients
Care Clinics, LLC CurrentSince Dec 23, 2024 Accepting new patients

Locations

7115 Forthun Rd
Ste 105
Baxter, MN 56425
Phone (218) 454-0090

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

4100 Berkshire Ln N
#250
Plymouth, MN 55446

4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446

7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1255178117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37535 COUNTY ROAD 155",
            "city": "AVON",
            "state": "MN",
            "postal_code": "563108737",
            "telephone_number": "320-333-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 FORTHUN RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258597",
            "telephone_number": "218-454-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHTOLD",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "credential": "CNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.