Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shavon Bettencourt, FNP-BC

Individual provider Registered Nurse · NPI 1710682422

Shavon Bettencourt, FNP-BC is a Nurse Practitioner in Lowell, Massachusetts. Qualified in 2022, 4 years ago. Practices with Lawrence General Community Medical Service PLLC, a 53-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

31 Parkview Ave
Lowell, MA 01852-2919
Phone: (978) 967-5077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2300960 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2300960 (MA)

Record details

NPI number1710682422
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lawrence General Community Medical Service Pllc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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