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HENRY BETANCOURT MD
NPI 1285423608
Student in an Organized Health Care Education/Training Program in Saint Cloud, MN

Active since May 02, 2025PECOS Enrolled
1555 NORTHWAY DR, SAINT CLOUD, MN 56303(320) 240-3157(320) 240-3165 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Henry Betancourt Md NPPES

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

HENRY BETANCOURT MD (NPI 1285423608) is an individual student in an organized health care education/training program in Saint Cloud, Minnesota and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285423608
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHENRY BETANCOURTCredential: MD
Location Address1555 NORTHWAY DRSaint Cloud, MN 56303-4555
Mailing Address1555 Northway Dr Ste 200Saint Cloud, MN 56303-4913 · (320) 240-3157 · Fax (320) 240-3165
Phone(320) 240-3157
Fax(320) 240-3165
Sole ProprietorNo
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1285423608 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.

1555 NORTHWAY DR, Saint Cloud, MN 56303
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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)

Henry Betancourt Md 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.

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.

CASEY BARKEIM MD
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
MS. TAMI EKERN
Pharmacist
1555 NORTHWAY DR, SUITE 200
SAINT CLOUD, MN 56303
Stearns County (320) 253-8500
CINDY JO DAY OTR
Occupational Therapist
1555 NORTHWAY DR
SAINT CLOUD, MN 56303
Stearns County (320) 259-4141
DR. JESSE GREENLEE PHARMD
Pharmacist
1555 NORTHWAY DR, SUITE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
DR. YOUSRA ABDALLA MD
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
STACY KRISTINA JOHNSON N.P.
Nurse Practitioner
1555 NORTHWAY DR
SAINT CLOUD, MN 56303
Stearns County (320) 259-4100
SARAH E MEISINGER MSW, LICSW
Social Worker
1555 NORTHWAY DR
SAINT CLOUD, MN 56303
Stearns County (320) 251-1775
DANIEL ETHAN JOHNSON P.T.
Physical Therapist
1555 NORTHWAY DR
SAINT CLOUD, MN 56303
Stearns County (320) 259-4100

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 Henry Betancourt's NPI number?

The NPI number for Henry Betancourt is 1285423608. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Henry Betancourt located?

Henry Betancourt practices at 1555 Northway Dr, Saint Cloud, MN 56303. The listed phone number is (320) 240-3157.

What is Henry Betancourt's specialty?

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

Is Henry Betancourt enrolled in Medicare?

Yes. Henry Betancourt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Betancourt was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.