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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. STACIE MICHELE BETANCOURT PH.D
NPI 1831067586
Health and Wellness Coach in Big Bear City, CA

Active since October 24, 2025PECOS Enrolled
377 SITES WAY, BIG BEAR CITY, CA 92314(909) 733-2346 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacie Michele Betancourt Ph.d NPPES

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

DR. STACIE MICHELE BETANCOURT PH.D (NPI 1831067586) is an individual health and wellness coach provider in Big Bear City, California, licensed in California (AAB2C399BB) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831067586
Entity TypeIndividualFemale
Primary Taxonomy171400000X
Provider Legal NameDR. STACIE MICHELE BETANCOURTCredential: PH.D
Location Address377 SITES WAYBig Bear City, CA 92314-9178
Mailing Address377 Sites WayBig Bear City, CA 92314-9178 · (909) 733-2346
Phone(909) 733-2346
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 24, 2025
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1831067586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
License✔ Licensed in CA · AAB2C399BB
Definition
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
377 SITES WAY, Big Bear City, CA 92314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacie Michele Betancourt Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820576945
PECOS Enrollment IDI20260130001156
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.

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 Stacie Betancourt's NPI number?

The NPI number for Stacie Betancourt is 1831067586. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Stacie Betancourt located?

Stacie Betancourt practices at 377 Sites Way, Big Bear City, CA 92314. The listed phone number is (909) 733-2346.

What is Stacie Betancourt's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

Is Stacie Betancourt enrolled in Medicare?

Yes. Stacie Betancourt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacie Betancourt was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.