SONIA ILDELISA BETANCOURT FNP-C
NPI 1023628435
Nurse Practitioner - Family in San Jacinto, CA
About Sonia Ildelisa Betancourt Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONIA ILDELISA BETANCOURT FNP-C (NPI 1023628435) is an individual family provider in San Jacinto, California, licensed in California (NP95014929) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sonia Ildelisa Betancourt Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sonia Betancourt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92583 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JACINTO, CA 92583
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sonia Betancourt's NPI number?
The NPI number for Sonia Betancourt is 1023628435. It was assigned to this individual provider in the NPPES registry on August 1, 2020.
Where is Sonia Betancourt located?
Sonia Betancourt practices at 621 N State St, San Jacinto, CA 92583. The listed phone number is (951) 285-6115.
What is Sonia Betancourt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sonia Betancourt enrolled in Medicare?
Yes. Sonia Betancourt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sonia Betancourt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Betancourt reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonia Betancourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sonia Betancourt was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sonia Ildelisa Betancourt, FNP-C · NPI 1023628435
Family physician in San Jacinto, California. Individual provider, active in the CMS NPPES registry since August 1, 2020.
## Identity
- **NPI:** 1023628435 (Entity type: Individual)
- **Enumerated:** August 1, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95014929 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 621 N STATE ST, San Jacinto, CA 92583-6567
- **Phone:** (951) 285-6115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023628435) · Data from the CMS NPPES public registry.