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JENNIFER LEE BOTELHO CNM
NPI 1114741444
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
3900 BETHEL DR, SAINT PAUL, MN 55112(651) 638-6400 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Lee Botelho Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LEE BOTELHO CNM (NPI 1114741444) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114741444
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER LEE BOTELHOCredential: CNM
Location Address3900 BETHEL DRSaint Paul, MN 55112-6902
Mailing Address3900 Bethel DrSaint Paul, MN 55112-6902 · (651) 638-6400
Phone(651) 638-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2024
NPPES CertifiedOctober 27, 2024
✔ NPI 1114741444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3900 BETHEL DR, Saint Paul, MN 55112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lee Botelho Cnm 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.

PECOS PAC ID1850804881
PECOS Enrollment IDI20250702000485
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA P HUNT
Physician Assistant
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 638-6400
MISS HANNAH RHIANNON SALISBURY
Physical Medicine & Rehabilitation (Sports Medicine)
3900 BETHEL DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
NOAH FAIRFIELD
Physician Assistant
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 638-6400
MARIAH ANN STEPHENSON
Student in an Organized Health Care Education/Training Program
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 315-3688
LEAH JACKSON
Physical Therapist
3900 BETHEL DR, MSC2376
SAINT PAUL, MN 55112
Ramsey County (651) 638-6215
SHAN LIANG DANG DONOVAN
Physician Assistant
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (320) 232-5030
MAKENA BECHARD
Student in an Organized Health Care Education/Training Program
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (651) 635-8074
OLIVIA RUTH DUBOIS
Student in an Organized Health Care Education/Training Program
3900 BETHEL DR
SAINT PAUL, MN 55112
Ramsey County (612) 720-4481

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 Jennifer Botelho's NPI number?

The NPI number for Jennifer Botelho is 1114741444. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Jennifer Botelho located?

Jennifer Botelho practices at 3900 Bethel Dr, Saint Paul, MN 55112. The listed phone number is (651) 638-6400.

What is Jennifer Botelho's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Botelho enrolled in Medicare?

Yes. Jennifer Botelho 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.

Is Jennifer Botelho affiliated with any hospitals?

According to CMS data, Jennifer Botelho is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Jennifer Botelho was last updated on November 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.