Active NPI
Nicole Bertelle, BSN, RN
- Certified Registered Nurse Anesthetist
- Baltimore, MD
National Provider Identifier
1457196578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R244941
- Practice address
- 655 W Lombard St
Baltimore, MD 21201-1512 - Phone
- (410) 706-0501
- NPI assigned
- Jun 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R244941 | MD | Primary |
Addresses
Primary practice location
655 W Lombard St
Baltimore, MD 21201-1512
Mailing address
3700 Toone St Apt 2310
Baltimore, MD 21224-5177
Phone (732) 570-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R244941 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1457196578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 TOONE ST APT 2310",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245177",
"telephone_number": "732-570-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W LOMBARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011512",
"telephone_number": "410-706-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTELLE",
"first_name": "NICOLE",
"credential": "BSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-29",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R244941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.