Individual provider Active NPI

John-Paul Bettencourt, DO, MPH, MBA, AAHIVS

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1598025462
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS19346 Issued in FL
Practice address
3487 Broadway
Fort Myers, FL 33901-7213
Phone
(239) 334-9555
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 264414 MA
Family Medicine Physician 207Q00000X OS19346 FL Primary

Addresses

Primary practice location

3487 Broadway
Fort Myers, FL 33901-7213

Mailing address

3487 Broadway
Fort Myers, FL 33901-7213
Phone (239) 334-9555

Other identifiers 1

IdentifierTypeStateIssuer
115808800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address j.bettencourt@mcgregorclinic.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221014002232 FL Practitioner - Family Practice 9133429400
I20260409001680 MA Practitioner - Family Practice 9133429400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Programs IncGroup PAC ID 5799746608, 45 clinicians

Practice addresses (Care Compare)

11 Quarry Hill Rd
Lee, MA 01238-9645
Phone (413) 243-0536

510 N St
Pittsfield, MA 01201-5493
Phone (413) 447-2351

Hospital & facility affiliations

  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
The McGregor Clinic, Inc CurrentSince Oct 5, 2022 Accepting new patients
Community Health Programs Past Accepting new patients

Locations

3487 Broadway
Fort Myers, FL 33901
Phone (239) 334-2555

3487 Broadway
Ste 100
Fort Myers, FL 33901

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1598025462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENCOURT",
        "first_name": "JOHN-PAUL",
        "name_prefix": "Dr.",
        "credential": "DO, MPH, MBA, AAHIVS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "264414",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115808800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.bettencourt@mcgregorclinic.directbygreenway.com",
            "affiliation": "N",
            "address_1": "3487 Broadway",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339017213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.