1. Home
  2. Directory
  3. NPI Profile

KEVIN CALDERON BETANCOURT FNP-C
NPI 1508739632
Nurse Practitioner - Primary Care in Canovanas, PR

Active since September 25, 2025PECOS Enrolled
CALLE 14 V2, JARDINES DE PALMAREJO, CANOVANAS, PR 00729(787) 207-5142 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin Calderon Betancourt Fnp-c NPPES

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

KEVIN CALDERON BETANCOURT FNP-C (NPI 1508739632) is an individual primary care provider in Canovanas, Puerto Rico, licensed in Puerto Rico (F09250275) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508739632
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameKEVIN CALDERON BETANCOURTCredential: FNP-C
Location AddressCALLE 14 V2, JARDINES DE PALMAREJOCanovanas, PR 00729
Mailing AddressCalle 14 V2, Jardines De PalmarejoCanovanas, PR 00729 · (787) 207-5142
Phone(787) 207-5142
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1508739632 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 PR · F09250275

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Calderon Betancourt Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941766521
PECOS Enrollment IDI20260804000490
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 Reassignment

Medicare enrollment records show Kevin Calderon Betancourt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica Las Americas Guaynabo, Inc
General Practice
1 AVE CASA LINDA
Bayamon, PR 00959
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 75 clinicians in this Medicare group
NPI 1033508197 (787) 789-1996

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 00729 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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 Kevin Calderon Betancourt's NPI number?

The NPI number for Kevin Calderon Betancourt is 1508739632. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Kevin Calderon Betancourt located?

Kevin Calderon Betancourt practices at Calle 14 V2 Jardines De Palmarejo, Canovanas, PR 00729. The listed phone number is (787) 207-5142.

What is Kevin Calderon Betancourt's specialty?

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

Is Kevin Calderon Betancourt enrolled in Medicare?

Yes. Kevin Calderon Betancourt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Calderon Betancourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Calderon Betancourt reassigns Medicare benefits to Clinica Las Americas Guaynabo, Inc (Bayamon, PR). The 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 Kevin Calderon Betancourt'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 Kevin Calderon Betancourt was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.