Peter A. Bertelli, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28167 Issued in SC

Practice address

244 Latitude LN Ste 104
Lake Wylie, SC 29710-8125

Phone

(803) 809-3184

Fax

(803) 615-4662

NPI assigned

Mar 26, 2020

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NC, SC, WA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandalwood Mental Health PLLCGroup PAC ID 0648712638, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Sandalwood Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Wylie, SC
  • NPI 1710662341

  MA, NC

  Medicare reassignment Care Compare group NPD Authorized official
• CH Specialty Services SC LLC

  • Family Nurse Practitioner
  • North Charleston, SC
  • NPI 1275915522
  Medicare reassignment NPD
• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD
• Curana Health of North Carolina PLLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1770217176
  Medicare reassignment NPD
• Orinoco Wellness, LC

  • Mental Health Counselor
  • Graham, NC
  • NPI 1508577321
  Medicare reassignment NPD
• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  Medicare reassignment NPD
• Telos Health Systems NC PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment NPD
• Opportunities Industrialization Center, Inc.

  dba Oic Family Medical Center Guardian Court

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1396103305
  Medicare reassignment
• Sandalwood Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westminster, CO
  • NPI 1881520674
  NPD (past) Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1235766338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297104081",
            "telephone_number": "803-809-3184",
            "fax_number": "803-615-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 LATITUDE LN STE 104",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108125",
            "telephone_number": "803-809-3184",
            "fax_number": "803-615-4662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8440 Rea Rd Ste M",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774230",
            "country_code": "US",
            "telephone_number": "803-809-3184",
            "fax_number": "803-615-4662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 N Center Pkwy Ste 112",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993367160",
            "country_code": "US",
            "telephone_number": "803-809-3184",
            "fax_number": "803-615-4662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Webster St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MA",
            "postal_code": "023391227",
            "country_code": "US",
            "telephone_number": "508-538-3165",
            "fax_number": "508-571-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTELLI",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61656954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2317837",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28167",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Allen, PHARMD
• Hannah Louise Anguish
• Barbara Ellen Anslow-Myers
• Barbara E. Anslow-Myers, LLC
• Melisia Ann Bell, DPT
• Richard F Biggers, P.T.
• Stacy L Blackmon, DDS
• Karin Johana Bock Mullooly
• Geneva Michelle Bolen, OTR/L
• Laura Bradshaw, MS/CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.