MRS. JOLENE BETANCOURT
NPI 1225910573
Nurse Practitioner - Primary Care in Loma Linda, CA

Q: What is Jolene Betancourt's NPI number?

The NPI number for Jolene Betancourt is 1225910573. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Q: What is Jolene Betancourt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jolene Betancourt was last updated on July 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since July 25, 2025PECOS Enrolled

11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4000 Get Directions Write a Review

NPPES record last updated: July 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jolene Betancourt NPPES

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

MRS. JOLENE BETANCOURT (NPI 1225910573) is an individual primary care provider in Loma Linda, California, licensed in California (95036198) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225910573

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. JOLENE BETANCOURT

Location Address11234 ANDERSON STLoma Linda, CA 92350-1716

Mailing Address11234 Anderson StLoma Linda, CA 92350-1716 · (909) 558-4000

Phone(909) 558-4000

Sole ProprietorYes

Enumeration DateJuly 25, 2025

Last NPPES UpdateJuly 27, 2025

NPPES CertifiedJuly 27, 2025

✔ NPI 1225910573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95036198

11234 ANDERSON ST, Loma Linda, CA 92350

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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 (PECOS)

Mrs. Jolene Betancourt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Paola September 8, 2025

5/5

Great provider, she took her time to listen to my concerns. Orders tests and helped me understand the process.

Provider 5/5 Office Staff 5/5

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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.

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