Individual provider Active NPI

Ashley R Bertolami, RN, MSN, AGNP

  • Gerontology Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1225316730
Registry record updated May 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
062930-23 Issued in NH
Practice address
280 Main St Ste 210a
Nashua, NH 03060-2920
Phone
(603) 577-3080
Fax
(603) 577-3081
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 062930-23 NH Primary

Addresses

Primary practice location

280 Main St Ste 210a
Nashua, NH 03060-2920

Mailing address

280 Main St Ste 210a
Nashua, NH 03060-2920
Phone (603) 577-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20111024000777 NH Practitioner - Nurse Practitioner 1658544432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

116 Spit Brook Rd
Nashua, NH 03062-2711
Phone (603) 888-5573

280 Main St
Suite 320
Nashua, NH 03060-2920
Phone (603) 577-5375

29 Northwest Blvd
Nashua, NH 03063-4068
Phone (603) 402-2070

300 Derry Rd
Hudson, NH 03051-3023
Phone (603) 886-3979

33 Windham Rd
Immediate Care of Southern New Hampshire Pe
Pelham, NH 03076-2372
Phone (603) 577-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
062930-23NHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc CurrentSince Sep 7, 2011 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Sep 7, 2011 Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

280 Main St
Ste 210A
Nashua, NH 03060
Phone (603) 577-3080

280 Main St
Nashua, NH 03060
Phone (603) 577-3080

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400284800000",
    "number": "1225316730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAIN ST STE 210A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602920",
            "telephone_number": "603-577-3080",
            "fax_number": "603-577-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN ST STE 210A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602920",
            "telephone_number": "603-577-3080",
            "fax_number": "603-577-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLAMI",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "RN, MSN, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2014-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "062930-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.