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SHELLY L BETANCOURT MSN,MHA,WHNP-BC
NPI 1962840397
Nurse Practitioner - Obstetrics & Gynecology in Carson City, MI

Active since June 07, 2013PECOS EnrolledAccepts Medicare Assignment
639 E MAIN ST, CARSON CITY, MI 48811(989) 584-3107(989) 584-6458 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shelly L Betancourt Msn,mha,whnp-bc NPPES

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

SHELLY L BETANCOURT MSN,MHA,WHNP-BC (NPI 1962840397) is an individual obstetrics & gynecology provider in Carson City, Michigan, licensed in Michigan (4704173045) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962840397
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameSHELLY L BETANCOURTCredential: MSN,MHA,WHNP-BC
Location Address639 E MAIN STCarson City, MI 48811-9795
Mailing Address639 E Main St, Po Box 670Carson City, MI 48811-9795 · (989) 584-3107 · Fax (989) 584-6458
Phone(989) 584-3107
Fax(989) 584-6458
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 7, 2013
✔ NPI 1962840397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in MI · 4704173045
639 E MAIN ST, Carson City, MI 48811
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Shelly L Betancourt Msn,mha,whnp-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.

PECOS PAC ID4789812991
PECOS Enrollment IDI20140115001485
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 Shelly Betancourt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carson City Hospital
Same address
Obstetrics & Gynecology
639 E MAIN ST
Carson City, MI 48811
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Sparrow Carson Hospital
  • 215 clinicians in this Medicare group
NPI 1528316932 (989) 584-3107

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alma

Acute Care Hospitals · Alma, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230030
Location300 E Warwick DrAlma, MI 48801 · Gratiot County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230208
Location406 East Elm StCarson City, MI 48811 · Montcalm County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48811 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
5%21 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%32 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARSON CITY CENTER FOR WOMEN'S HEALTHCARE PC
Obstetrics & Gynecology
639 E MAIN ST
CARSON CITY, MI 48811
Montcalm County (989) 584-3107
CARSON CITY HOSPITAL
Obstetrics & Gynecology
639 E MAIN ST
CARSON CITY, MI 48811
Montcalm County (989) 584-3107
SPARROW CARSON HOSPITAL
Clinic/Center (Rural Health)
639 E MAIN ST
CARSON CITY, MI 48811
Montcalm County (989) 584-3107

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 Shelly Betancourt's NPI number?

The NPI number for Shelly Betancourt is 1962840397. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Shelly Betancourt located?

Shelly Betancourt practices at 639 E Main St, Carson City, MI 48811. The listed phone number is (989) 584-3107.

What is Shelly Betancourt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Shelly Betancourt enrolled in Medicare?

Yes. Shelly Betancourt 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 organization bills Medicare for Shelly Betancourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Betancourt reassigns Medicare benefits to Carson City Hospital (Carson City, MI). 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 Shelly Betancourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Betancourt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Shelly Betancourt 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.

Is Shelly Betancourt affiliated with any hospitals?

According to CMS data, Shelly Betancourt is affiliated with Mymichigan Medical Center Alma, Mymichigan Medical Center Clare and Sparrow Carson Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Betancourt was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.