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DR. NICOLE BETANCOURT M.D.
NPI 1891087169
Pediatrics - Pediatric Critical Care Medicine in Cooperstown, NY

Active since May 05, 2011PECOS Enrolled
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3456 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicole Betancourt M.d. NPPES

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

DR. NICOLE BETANCOURT M.D. (NPI 1891087169) is an individual pediatric critical care medicine provider in Cooperstown, New York, licensed in New York (275204) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1891087169
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. NICOLE BETANCOURTCredential: M.D.
Location Address1 ATWELL RDCooperstown, NY 13326
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (732) 807-0842
Phone(607) 547-3456
Sole ProprietorYes
Enumeration DateMay 5, 2011
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1891087169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 275204
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 275204 (NY)
1 ATWELL RD, Cooperstown, NY 13326
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Secondary Practice Location 1

Location 147 New Scotland Ave, Albany Medical Center, Department of PediatricsAlbany, NY 12208-3412 · Phone (518) 262-5626

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Betancourt M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Nicole Betancourt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Imogene Bassett Hospital
Same address
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
NPI 1083664221 (607) 547-6858
Sunnyview Hospital And Rehabilitation Center
52 mi
General Acute Care Hospital
1270 BELMONT AVENUE
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 105 clinicians in this Medicare group
NPI 1578664470 (518) 382-4500
Albany Medical College
58 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

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

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.

SHIRLEY SCHUE ARNP
Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-6982
MARGUERITE DUPLESSIS PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3153
KYLE NICK PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
MS. BARBARA MARY SEPP LCSW
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3500
PATRICIA LINDSAY PA-C
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3400
HAYLEE SMITH
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
DR. CHRIS L KJOLHEDE M.D.
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3290
ELIZABETH FINAN GUINEY L.M., C.M.
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3160

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 Betancourt's NPI number?

The NPI number for Nicole Betancourt is 1891087169. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Nicole Betancourt located?

Nicole Betancourt practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3456.

What is Nicole Betancourt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Nicole Betancourt enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Betancourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Betancourt reassigns Medicare benefits to 3 organizations: Mary Imogene Bassett Hospital (Cooperstown, NY), Sunnyview Hospital And Rehabilitation Center (Schenectady, NY) and Albany Medical College (Albany, NY). 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 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 Nicole Betancourt was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.