NICOLE BETENIA MD MPH
NPI 1316309511
Obstetrics & Gynecology in San Rafael, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Betenia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakland, CA 94609
- Reassigned Medicare billing, California enrollment
- 187 clinicians in this Medicare group
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Chicago, IL 60624
- Reassigned Medicare billing, Illinois enrollment
- 383 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 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.
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.
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.
SAN RAFAEL, CA 94901
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.
Which organizations bill Medicare for Nicole Betenia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Betenia reassigns Medicare benefits to 3 organizations: La Clinica De La Raza Inc (Oakland, CA), Sutter Bay Medical Foundation (Orinda, CA) and Erie Family Health Center Inc (Chicago, IL). Each 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 Nicole Betenia'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 Nicole Betenia was last updated on September 29, 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.
# Nicole Betenia, MD MPH · NPI 1316309511
Obstetrics & Gynecology physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since March 25, 2016.
## Identity
- **NPI:** 1316309511 (Entity type: Individual)
- **Enumerated:** March 25, 2016
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A179467 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3260 KERNER BLVD, San Rafael, CA 94901-4840
- **Phone:** (415) 448-1500
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): La Clinica De La Raza Inc (NPI 1346262292, Oakland, CA); Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA); Erie Family Health Center Inc (NPI 1548062318, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316309511) · Data from the CMS NPPES public registry.