MICHELLE BETTLE – Registered Nurse, NPI 1083112502

MICHELLE BETTLE is a healthcare provider. based in Pembroke, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2313894 (MA). The NPI Number for MICHELLE BETTLE is 1083112502

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE BETTLE
NPI
1083112502
Phone
Not provided
Address
216 EDGEWATER DR
Enumeration Date
30 January 2018
Last Update Date
30 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176367399
Graduation Year
2018 (8 years ago)
PAC ID
0042645160
Group Practice PAC ID
4789647405
Professional Enrollment ID
I20200120000586
Address ID
MA021111552BO800XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MICHELLE BETTLE

  • 216, Edgewater Drive, Pembroke, Plymouth County, Massachusetts, 02359, United States

    PEMBROKE, MA 023592824

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-20

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
I20200120000586INurse PractitionerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02359)

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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: 4789647405View full group profile
NameSpecialtyState
N E U R O S U R G E R YMA
-MA
Physician AssistantMA
N E U R O S U R G E R YMA
Physician AssistantMA
-OR
N E U R O S U R G E R YGA
N E U R O S U R G E R YMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

Is MICHELLE BETTLE listed with a National Provider Identifier?
Yes — MICHELLE BETTLE has NPI 1083112502 on file in the registry.
Would MICHELLE BETTLE appear as active to a payer?
You can treat MICHELLE BETTLE as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MICHELLE BETTLE's focus?
For MICHELLE BETTLE, the primary taxonomy reads as Registered Nurse. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MICHELLE BETTLE registered?
Use Pembroke, Massachusetts as the headline location for MICHELLE BETTLE here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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