SHAVON BETTENCOURT FNP-BC
NPI 1710682422
Nurse Practitioner - Family in Lowell, MA
About Shavon Bettencourt Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAVON BETTENCOURT FNP-BC (NPI 1710682422) is an individual family provider in Lowell, Massachusetts, licensed in Massachusetts (RN2300960) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted 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
Shavon Bettencourt 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.
Medicare Billing Reassignments
4Medicare enrollment records show Shavon Bettencourt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tewksbury, MA 01876
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Global Care Medical Group PC
- 21 clinicians in this Medicare group
Chelmsford, MA 01824
- Reassigned Medicare billing, Massachusetts enrollment
- 58 clinicians in this Medicare group
Chelmsford, MA 01824
- Reassigned Medicare billing, Massachusetts enrollment
- 57 clinicians in this Medicare group
Concord, MA 01742
- Reassigned Medicare billing, Massachusetts enrollment
- 451 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shavon Bettencourt's NPI number?
The NPI number for Shavon Bettencourt is 1710682422. It was assigned to this individual provider in the NPPES registry on April 3, 2023. The provider is also known as Shavon Sullivan.
Where is Shavon Bettencourt located?
Shavon Bettencourt practices at 31 Parkview Ave, Lowell, MA 01852. The listed phone number is (978) 967-5077.
What is Shavon Bettencourt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shavon Bettencourt enrolled in Medicare?
Yes. Shavon Bettencourt 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 Shavon Bettencourt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shavon Bettencourt reassigns Medicare benefits to 4 organizations: Global Care Medical Group, P.C. (Tewksbury, MA), Lawrence General Community Medical Service PLLC (Chelmsford, MA), New England Community Medical Services PLLC (Chelmsford, MA) and Emerson Practice Associates, Inc. (Concord, MA). 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 Shavon Bettencourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shavon Bettencourt accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and WellSense Health Plan list Shavon Bettencourt 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.
When was this NPI record last updated?
The NPPES record for Shavon Bettencourt was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shavon Bettencourt, FNP-BC · NPI 1710682422
Family physician in Lowell, Massachusetts. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1710682422 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2300960 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 31 PARKVIEW AVE, Lowell, MA 01852-2919
- **Phone:** (978) 967-5077
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Global Care Medical Group, P.C. (NPI 1902870884, Tewksbury, MA); Lawrence General Community Medical Service PLLC (NPI 1174076418, Chelmsford, MA); New England Community Medical Services PLLC (NPI 1427376516, Chelmsford, MA); Emerson Practice Associates, Inc. (NPI 1508020199, Concord, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710682422) · Data from the CMS NPPES public registry.