MIRELIS BETANCES (RDN) – Registered Dietitian, NPI 1043705635

MIRELIS BETANCES (RDN) is a healthcare provider. based in East providence, Rhode Island. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDN. They hold a License No. LDN00850 (RI). The NPI Number for MIRELIS BETANCES (RDN) is 1043705635

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MIRELIS BETANCES (RDN)
NPI
1043705635
Phone
Not provided
Address
450 VETERANS MEMORIAL PKWY STE 8C
Enumeration Date
26 June 2018
Last Update Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013969331
Graduation Year
2014 (12 years ago)
PAC ID
5799143699
Group Practice PAC ID
2163668518
Professional Enrollment ID
I20230626001523
Address ID
RI029145300EA450XXPKWY416
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

75 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in RI

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Provider Addresses for MIRELIS BETANCES (RDN)

  • 450 VETERANS MEMORIAL PKWY STE 8C

    EAST PROVIDENCE, RI 029145300

    Phone:

    Type: Mailing

  • 1000, Eddy Street, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029054739

    Phone: (401) 533-9100

    Fax: (401) 533-9105

    Type: Mailing

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: 2023-06-26

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
I20230626001523IRegistered Dietitian Or Nutrition ProfessionalRITBD

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 02914)

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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: 2163668518View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalMA
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalRI
Registered Dietitian Or Nutrition ProfessionalMA
-RI
Registered Dietitian Or Nutrition ProfessionalMA
-RI
-RI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MIRELIS BETANCES (RDN)?
MIRELIS BETANCES (RDN) — NPI 1043705635 — is the standard way to identify this listing.
Does CMS list MIRELIS BETANCES (RDN) as active?
Yes — MIRELIS BETANCES (RDN) is active in the NPI listing used on this page.
What taxonomy line describes MIRELIS BETANCES (RDN)?
For research purposes, treat MIRELIS BETANCES (RDN) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
Where is MIRELIS BETANCES (RDN) based?
MIRELIS BETANCES (RDN) is tied to East Providence, Rhode Island in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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