Karlene Hertle Bert, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

295673 Issued in CA

Practice address

1878 E Hatch Rd
Modesto, CA 95351-5002

Phone

(209) 602-8415

Fax

(209) 491-7184

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael L. Brodie

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1336231406
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053511378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576649",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576649",
            "telephone_number": "209-571-8330",
            "fax_number": "209-491-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 E HATCH RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953515002",
            "telephone_number": "209-602-8415",
            "fax_number": "209-491-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERT",
        "first_name": "KARLENE",
        "middle_name": "HERTLE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "295673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5419135",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "295673 NPF 4111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Brophy Berrien, M.D.
• Maria L. Berrones, MD
• Addison Berry, B.S.
• Kamryn Lee Berry
• Ashley Berryhill
• Malia Bert
• Norma Jean Bertrand, APRN-C
• Best Pharmacy
• Best Pharmacy Nguyen Giao
• Jasmine Betancourt

• Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.