Nicole L Betts
SOCO PRIMARY CARE CLINIC


Address: 1310 Fortino Blvd, Suite D, Pueblo, CO 81008-2076
Phone: 7195821898

Nicole L Betts (NPI# 1417327461, PAC ID# 4981903911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1417327461
PAC ID by PECOS 4981903911
Professional Enrollment ID I20161205002206
Full Name Nicole L Betts
Organization Legal Name SOCO PRIMARY CARE CLINIC
Address 1310 Fortino Blvd
Suite D
Pueblo
CO 81008-2076
Phone Number 7195821898
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1759613292
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060020 PARKVIEW MEDICAL CENTER INC
060012 ST MARY CORWIN MED CTR, CENTURA HEALTH

Other Locations

Address Phone Organization
1310 Fortino Blvd, Suite D, Pueblo, CO 81008-2076 7195821898 SOCO PRIMARY CARE CLINIC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 100%

Organization Information

Organization Legal Name SOCO PRIMARY CARE CLINIC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Chelsea L Frey Nurse Practitioner Soco Primary Care Clinic 1310 Fortino Blvd, Suite D, Pueblo, CO 81008-2076

Office Location

Street Address 1310 FORTINO BLVD
SUITE D
City PUEBLO
State CO
Zip 81008-2076

Physicians in the same location

Name Specialty Organization Address
Chelsea L Frey Nurse Practitioner Soco Primary Care Clinic 1310 Fortino Blvd, Suite D, Pueblo, CO 81008-2076

Physicians in the same zip code

Name Specialty Organization Address
Ashok Patel Allergy/immunology 3116 Elizabeth St, Suite A, Pueblo, CO 81008-1145
Gregory J Sanchez Chiropractic 3606 Morris Ave, Suite B, Pueblo, CO 81008-1369
Theodore Wilding Davis Chiropractic 2505 Kachina Dr, Pueblo, CO 81008-1573
James F Georgis Optometry 22 Club Manor Dr, Pueblo, CO 81008-1601
Victoria R Peters Optometry 1700 W Hwy 50, Pueblo, CO 81008-1614
Lance Farnworth Orthopedic Surgery Pueblo Bone and Joint Clinic LLC 1919w Us Hwy 50, Pueblo, CO 81008-1618
Damian Gradisar Nurse Practitioner Pueblo Bone and Joint Clinic LLC 1919w Us Hwy 50, Pueblo, CO 81008-1618
Matthew P Simonich Orthopedic Surgery Pueblo Bone and Joint Clinic LLC 1919w Us Hwy 50, Pueblo, CO 81008-1618
Robyn B Silver Physical Therapy Centura Ventures LLC 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667
Stephanie Jean Zimbelman Family Medicine Catholic Health Initiatives Colorado 4112 Outlook Blvd, Suite 303, Pueblo, CO 81008-1667
Find all physicians in zip 81008

Competitor

Search similar physicians

City PUEBLO
Zip Code 81008
Specialty NURSE PRACTITIONER
City + Specialty PUEBLO + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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