Alexis Bertolla
Individual provider Active NPI Pediatric Nurse Practitioner · Mobile, AL
NPI 1679249155 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1679249155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 1-166074 (AL)
- Practice address
- 1700 Center St
Mobile, AL 36604-3301 - Phone
- (251) 415-1000
- Fax
- (251) 415-1001
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201002230 | AL | Practitioner - Nurse Practitioner | 0941690101 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Children'S Urgent Care, LLC | Current |
Accepting new patients |
Locations
500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
1601 Center St
Mobile, AL 36604
Phone (251) 410-5437
117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-166074 | AL | Yes |
Addresses
Primary practice location
1700 Center St
Mobile, AL 36604-3301
Mailing address
PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057
Other providers in Mobile, AL
- April Berry
- Emily Berry
- Lauren Berry
- Olivia Berry
- Travis Berry
- Stacee Byrd Bertolla
- Roxanne Beshear
- Sabrina G. Bessette
- Luis Betancourt
- Adriana Celina Betancourth Alvarenga
All providers in Mobile, AL · Pediatric Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.