NICOLE BETENIA MD MPH
NPI 1316309511
Obstetrics & Gynecology in San Rafael, CA

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
75.1/100
CMS Quality Rating
3260 KERNER BLVD, SAN RAFAEL, CA 94901(415) 448-1500 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2022, Aug 10, 2021, May 11, 2016 and 1 more (4 updates tracked since 2016).

About Nicole Betenia Md Mph NPPES

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

NICOLE BETENIA MD MPH (NPI 1316309511) is an individual obstetrics & gynecology provider in San Rafael, California, licensed in California (A179467) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of University Of California, San Francisco School Of Medicine (2016).

NPPES Registry Identity

NPI1316309511
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE BETENIACredential: MD MPH
Location Address3260 KERNER BLVDSan Rafael, CA 94901-4840
Mailing Address3260 Kerner BlvdSan Rafael, CA 94901-4840 · (415) 448-1500
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2016
Enumeration DateMarch 25, 2016
Last NPPES UpdateSeptember 29, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1316309511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in CA · A179467 Licensed in IL · 036152957
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3260 KERNER BLVD, San Rafael, CA 94901

Secondary Practice Location 1

Location 12450 Ashby Ave Rm 3040Berkeley, CA 94705-2067 · Phone (510) 204-3977 · Fax (510) 204-5429

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

Nicole Betenia Md Mph 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 ID4587952361
PECOS Enrollment IDI20201125001059, I20220906003126
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 94901 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability78
Improvement Activities40
Cost57.33

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.

Advanced Practice Midwife
3260 KERNER BLVD
SAN RAFAEL, CA 94901
Advanced Practice Midwife
3260 KERNER BLVD, SUITE E
SAN RAFAEL, CA 94901
Nurse Practitioner (Pediatrics)
3260 KERNER BLVD
SAN RAFAEL, CA 94901
Registered Nurse
3260 KERNER BLVD
SAN RAFAEL, CA 94901
Registered Nurse
3260 KERNER BLVD
SAN RAFAEL, CA 94901
Registered Nurse (Women's Health Care, Ambulatory)
3260 KERNER BLVD
SAN RAFAEL, CA 94901
Family Medicine
3260 KERNER BLVD
SAN RAFAEL, CA 94901
Advanced Practice Midwife
3260 KERNER BLVD
SAN RAFAEL, CA 94901

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 Nicole Betenia's NPI number?

The NPI number for Nicole Betenia is 1316309511. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Nicole Betenia located?

Nicole Betenia practices at 3260 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (415) 448-1500.

What is Nicole Betenia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Betenia enrolled in Medicare?

Yes. Nicole Betenia 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.

When was this NPI record last updated?

The NPPES record for Nicole Betenia was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.