Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gretchen Soberay Betts, DO

Individual provider Family Medicine Physician · NPI 1124292578

Gretchen Soberay Betts, DO is a Family Practice in Crystal, Minnesota. Graduated from Kansas City College of Medicine and Surgery in 2006, 20 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Iowa, Kentucky and Maine and 6 more.

Years since qualifying
20
Trained at
Kansas City College of Medicine and Surgery
Licensed in
CO, IA, KY, ME, MI, MN
In the registry since
2008
Specialties on file
10
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5502 W Broadway Ave Northwest Family Physicians
Crystal, MN 55428-3508
Phone: (763) 504-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 632 Broadway Ph, New York, NY 10012-2614 — (800) 731-4254

Specialties & licences

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

Record details

NPI number1124292578
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address5502 W Broadway Ave, Northwest Family Physicians, Crystal, MN 55428-3508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2006 (20 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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