NICOLE BETTS (AGNP-C) – Primary Care Nurse Practitioner, NPI 1417327461

NICOLE BETTS (AGNP-C) is a healthcare provider. based in Pueblo, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. APN.0992247-NP (CO). The NPI Number for NICOLE BETTS (AGNP-C) is 1417327461

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE BETTS (AGNP-C)
NPI
1417327461
Phone
Not provided
Address
1310 FORTINO BLVD STE D
Enumeration Date
2 October 2015
Last Update Date
30 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195821898
Graduation Year
2015 (11 years ago)
PAC ID
4981903911
Group Practice PAC ID
1759613292
Professional Enrollment ID
I20161205002206
Address ID
CO810082076PU1310XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for NICOLE BETTS (AGNP-C)

  • 1310 FORTINO BLVD STE D

    PUEBLO, CO 810082076

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $527.

Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($128).

Total Amount

$527

General + Research + Ownership

Payments

27

Total payment records

General Amount

$527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161205002206INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes8014$0
96372Injection of drug or substance under skin or into muscle6811$0
99214Established patient office or other outpatient visit, 30-39 minutes6819$0
36415Insertion of needle into vein for collection of blood sample2012$0
View full utilization report →

Insurance plans in this area (ZIP 81008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759613292View full group profile
NameSpecialtyState
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE BETTS (AGNP-C)?
NICOLE BETTS (AGNP-C) — NPI 1417327461 — is the standard way to identify this listing.
Does the file indicate NICOLE BETTS (AGNP-C) is practicing under active NPI?
Directory data currently reports NICOLE BETTS (AGNP-C) as active.
What taxonomy line describes NICOLE BETTS (AGNP-C)?
For research purposes, treat NICOLE BETTS (AGNP-C) as Primary Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does NICOLE BETTS (AGNP-C) list a practice location?
Patients near Pueblo, Colorado may find NICOLE BETTS (AGNP-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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