Active NPI 1558757641 Individual Practitioner Female Practitioner

Beth Dougherty , AGNP-C

Nurse Practitioner • St Louis Park, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Beth Dougherty, AGNP-C is a certified Nurse Practitioner practicing in St Louis Park, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Beth Dougherty delivers high-quality medical care to the local community at 3931 LOUISIANA AVE S.

Beth Dougherty is affiliated with Park Nicollet Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3931 Louisiana Ave S

St Louis Park, MN 554265000

Telephone 9529933230

Associated Practice Facility / Clinic

🏢 Park Nicollet Health Care Products Facility NPI 1992768899

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in St Louis Park, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -0.4 yrs vs City Avg

City Avg: 12.4 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

68 Specialists

Practicing in St Louis Park, MN (2609 Statewide)

Telehealth Adoption Rate

33.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dougherty (12 Years) 12 Yrs

St Louis Park Specialty Average (12.4 Years) 12.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	164	$406.30	$104.37
99213 Established patient office or other outpatient visit, typically 15 minutes	100	95	$287.30	$74.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$357.00	$91.27
36415 Insertion of needle into vein for collection of blood sample	12	11	$21.50	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	192	$374.00	$105.82
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$265.20	$74.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$527.00	$147.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	205	$352.00	$107.26
99213 Established patient office or other outpatient visit, typically 15 minutes	72	70	$248.25	$76.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	33	$491.25	$147.51
99443 Telephone medical discussion with physician, 21-30 minutes	25	23	$147.00	$108.23
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	22	17	$92.75	$26.76
36415 Insertion of needle into vein for collection of blood sample	11	11	$21.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	107	$290.45	$108.86
99213 Established patient office or other outpatient visit, typically 15 minutes	60	52	$195.53	$77.16
99443 Telephone medical discussion with physician, 21-30 minutes	34	33	$109.65	$109.59
17000 Destruction of skin growth	18	18	$178.00	$42.58
17110 Destruction of up to 14 skin growths	18	17	$282.00	$98.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	64	$190.00	$63.53
17003 Destruction of precancer skin growth, 2-14 growths	52	15	$20.00	$5.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$275.00	$92.13
17110 Destruction of up to 14 skin growths	40	32	$282.00	$96.38
17000 Destruction of skin growth	36	32	$178.00	$35.74
11102 Tangential biopsy of single skin lesion	26	24	$252.00	$78.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	63	$180.86	$62.13
17003 Destruction of precancer skin growth, 2-14 growths	69	26	$19.22	$4.67
17000 Destruction of skin growth	42	37	$169.97	$43.01
17110 Destruction of up to 14 skin growths	28	25	$262.92	$91.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$275.00	$91.07
11102 Tangential biopsy of single skin lesion	23	21	$245.03	$70.79
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$186.34	$63.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$68.81	$59.88
17000 Destruction of skin growth	12	11	$78.56	$43.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$65.79	$59.73
17110 Destruction of up to 14 skin growths	16	12	$104.91	$91.82
17000 Destruction of skin growth	14	13	$83.97	$44.87

Medical Specialties & State Licenses

CMS Verified: 2021-06-07

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN CNP3840

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

3931 Louisiana Ave S, St Louis Park, MN 554265000

Phone: 9529933123

Secondary Practice Locations

7300 France Ave S Ste 400

Edina, MN 554354544

Phone: 9523745995

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Camille Schwarzrock , NP-C

Nurse Practitioner

NPI 1003206731

Nurse Practitioner (Certified)

Dr. Amanda Calvin , MD

Internal Medicine - Pulmonary Disease

NPI 1013354513

Doctor of Medicine (M.D.)

Carrie Michurski

Specialist/Technologist, Other - Surgical Technologist

NPI 1033196191

Dr. Meiling Parker , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1033372321

Doctor of Medicine (M.D.)

Jack Bergman , PA-C

Physician Assistant

NPI 1043790553

Physician Assistant (Certified)

Shereen Sorensen , FNP, RN

Nurse Practitioner

NPI 1043800022

Family Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 07, 2021

Registered at 3931 LOUISIANA AVE S, ST LOUIS PARK, MN 554265000 (Tel: 9529933230)

📍

Updated Business Mailing Address June 07, 2021

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

✅

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2015

Registered at 7300 FRANCE AVE S STE 400, EDINA, MN 554354544 (Tel: 9523745995)

📍

Updated Business Mailing Address April 15, 2015

Registered at 7300 FRANCE AVE S STE 400, EDINA, MN 554354544 (Tel: 9523745995)

👤

Provider Name / Credentials Updated April 15, 2015

Recorded as BETH DOUGHERTY, AGNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Nurse Practitioner (License #CNP3840 in MN)

🟢

Initial NPI Registration & Enumeration April 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558757641

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 15, 2015

Last Update: June 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.