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MR. MATEO M BETANZOS FNP/BC
NPI 1457767998
Nurse Practitioner - Family in Chicago, IL

Active since July 04, 2014PECOS EnrolledAccepts Medicare Assignment
1337 W 19TH ST, CHICAGO, IL 60608(312) 563-9517 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Mateo M Betanzos Fnp/bc NPPES

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

MR. MATEO M BETANZOS FNP/BC (NPI 1457767998) is an individual family provider in Chicago, Illinois, licensed in Illinois (209011574) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457767998
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MATEO M BETANZOSCredential: FNP/BC
Location Address1337 W 19TH STChicago, IL 60608-3896
Mailing Address4025 N Sheridan RdChicago, IL 60613-2010 · (773) 388-1600 · Fax (773) 388-1602
Phone(312) 563-9517
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 4, 2014
Last NPPES UpdateJanuary 10, 2018
✔ NPI 1457767998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209011574
1337 W 19TH ST, Chicago, IL 60608
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Mr. Mateo M Betanzos Fnp/bc 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 ID4486871050
PECOS Enrollment IDI20140806000984
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mateo Betanzos reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Board Of Trustees Of The University Of Illinois
0.9 mi
Early Intervention Provider Agency
1640 W ROOSEVELT RD
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1174554331 (312) 996-6695
Advocate Health & Hospitals Corp.
3.0 mi
Emergency Medicine
3435 W VAN BUREN ST
Chicago, IL 60624
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1750315545 (773) 265-3583
Cmc Healthcare LLC
13 mi
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 191 clinicians in this Medicare group
NPI 1295432334 (773) 831-5021
Paragon Clinical LLC
15 mi
Nurse Practitioner
1333 BURR RIDGE PKWY STE 200
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 183 clinicians in this Medicare group
NPI 1114139946 (630) 832-1775
Tj Siddiqui Inc
19 mi
Infectious Disease
11113 WOODSTOCK DR
Orland Park, IL 60467
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1053546820 (708) 351-0292

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Mateo Betanzos's NPI number?

The NPI number for Mateo Betanzos is 1457767998. It was assigned to this individual provider in the NPPES registry on July 4, 2014.

Where is Mateo Betanzos located?

Mateo Betanzos practices at 1337 W 19th St, Chicago, IL 60608. The listed phone number is (312) 563-9517.

What is Mateo Betanzos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mateo Betanzos enrolled in Medicare?

Yes. Mateo Betanzos 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 Mateo Betanzos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mateo Betanzos reassigns Medicare benefits to 5 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL), Advocate Health & Hospitals Corp. (Chicago, IL), Cmc Healthcare LLC (Evanston, IL), Paragon Clinical LLC (Burr Ridge, IL) and Tj Siddiqui Inc (Orland Park, 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 Mateo Betanzos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mateo Betanzos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mateo Betanzos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mateo Betanzos affiliated with any hospitals?

According to CMS data, Mateo Betanzos is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Mateo Betanzos was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.