Cindy Lee Bertolino, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.017490 Issued in IL

Practice address

9142 Prospect Rd
Mount Olive, IL 62069-2334

Phone

(217) 556-5806

Fax

(217) 556-5806

NPI assigned

Feb 26, 2018

Last updated

Jul 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toofan Medical Holdings, LTDGroup PAC ID 6800026006, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Toofan Medical Holdings, LTD.

  dba Effingham Express Care

  • Urgent Care Clinic/Center
  • Effingham, IL
  • NPI 1396179693
  Medicare reassignment Care Compare group NPD
• Toofan Medical Holdings, LTD

  dba Central Illinois Urgent Care

  • Urgent Care Clinic/Center
  • Mattoon, IL
  • NPI 1396578092
  NPD

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1386145258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9142 PROSPECT RD",
            "city": "MOUNT OLIVE",
            "state": "IL",
            "postal_code": "620692334",
            "telephone_number": "217-556-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9142 PROSPECT RD",
            "city": "MOUNT OLIVE",
            "state": "IL",
            "postal_code": "620692334",
            "telephone_number": "217-556-5806",
            "fax_number": "217-556-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINO",
        "first_name": "CINDY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F02180041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Family Dental & Orthodontics of Mt. Olive, P.C.
• Ageless RX Systems LLC (Sullivans Drugs of Mt. Olive)
• Brooke A Borrowman
• Catherine A Brister, MSOT
• Carlinville Area Hospital Association (Macoupin Family Practice Center - Mt Olive)
• Dennis J. Guardia, DMD
• Brandi Lynn Kelly, LCSW

• Family Nurse Practitioner in Mount Olive, IL
• Providers in Mount Olive, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.