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.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060020 | PARKVIEW MEDICAL CENTER INC |
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1310 Fortino Blvd, Suite D, Pueblo, CO 81008-2076 | 7195821898 | SOCO PRIMARY CARE CLINIC |
| 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 Legal Name | SOCO PRIMARY CARE CLINIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea L Frey | Nurse Practitioner | Soco Primary Care Clinic | 1310 Fortino Blvd, Suite D, Pueblo, CO 81008-2076 |
| Street Address |
1310 FORTINO BLVD SUITE D |
| City | PUEBLO |
| State | CO |
| Zip | 81008-2076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea L Frey | Nurse Practitioner | Soco Primary Care Clinic | 1310 Fortino Blvd, Suite D, Pueblo, CO 81008-2076 |
| 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 | |||
| City | PUEBLO |
| Zip Code | 81008 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PUEBLO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicole L Betts.
| 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.