Shelly L Betancourt, MSN,MHA,WHNP-BC

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

4704173045 Issued in MI

Practice address

639 E Main St
Carson City, MI 48811-9795

Phone

(989) 584-3107

Fax

(989) 584-6458

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sparrow Carson HospitalGroup PAC ID 7113836701, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health-Sparrow Carson Hospital, Carson City, MI, CCN 230208
• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbetancourt56807@sparrowdirecthie.org

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.

• Sparrow Carson Hospital

  dba University of Michigan Health-Sparrow

  • Internal Medicine Physician
  • Carson City, MI
  • NPI 1598490542
  Medicare reassignment Care Compare group NPD
• Sparrow Carson Hospital

  dba University of Michigan Health-Sparrow

  • Cardiovascular Disease Physician
  • Carson City, MI
  • NPI 1063245694
  NPD
• Sparrow Carson Hospital

  dba University of Michigan Health-Sparrow

  • Obstetrics & Gynecology Physician
  • Carson City, MI
  • NPI 1902153083
  NPD
• Sparrow Carson Hospital

  dba University of Michigan Health-Sparrow

  • Rural Health Clinic/Center
  • Carson City, MI
  • NPI 1013987833
  NPD (past)

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

• Mymichigan Medical Center Alma

  • General Acute Care Hospital
  • Alma, MI
  • NPI 1023097771
  Care Compare affiliation
• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation
• Sparrow Carson Hospital

  dba University of Michigan Health-Sparrow

  • General Acute Care Hospital
  • Carson City, MI
  • NPI 1336103043
  Care Compare affiliation

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1962840397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E MAIN ST",
            "address_2": "PO BOX 670",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119795",
            "telephone_number": "989-584-3107",
            "fax_number": "989-584-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 E MAIN ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119795",
            "telephone_number": "989-584-3107",
            "fax_number": "989-584-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "MSN,MHA,WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704173045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena Baxter, OTR
• Michelle Leigh Becher, D.O., FACOOG
• Amanda Elizabeth Bennett, FNP-C
• Sarah A Bergakker, CRNA
• Alberto Betancourt, MD
• Parutappa R Bhimalli, MD
• Bobbie's Helping Hands Home Care
• Kristi Ann Brethauer, RD
• Calm Reflections LLC
• Carson City Center for Women's Healthcare PC

• Obstetrics & Gynecology Nurse Practitioner in Carson City, MI
• Providers in Carson City, MI by specialty
• Obstetrics & Gynecology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.