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

Q: 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.

Q: 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.

Q: 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 11 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.

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)