Individual provider Active NPI

Elena Bertolino

  • Critical Care Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1285051896
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
R113854 Issued in MD
Practice address
1800 Orleans St Ste 6320
Baltimore, MD 21287-4904
Phone
(410) 955-7610
NPI assigned
Mar 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X R113854 MD Primary

Addresses

Primary practice location

1800 Orleans St Ste 6320
Baltimore, MD 21287-4904

Mailing address

12 Whippoorwill Rd
Rye Brook, NY 10573-1027
Phone (202) 365-3837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20140930001838 MD Practitioner - Nurse Practitioner 5092935841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R113854MDMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 23, 2018 Accepting new patients
Johns Hopkins University CurrentSince Jul 23, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

1800 Orleans St
Ste 6320
Baltimore, MD 21287
Phone (410) 955-7610

1800 Orleans St
#6321
Baltimore, MD 21287
Phone (410) 955-6412

600 N Wolfe St
Baltimore, MD 21287

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

Interoperability endpoints

  • Direct secure messaging: ebertolino176193@direct.hopkinsmedicine.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1285051896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WHIPPOORWILL RD",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731027",
            "telephone_number": "202-365-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST STE 6320",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212874904",
            "telephone_number": "410-955-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINO",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MD",
            "license": "R113854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.