Individual provider Active NPI

Lorraine Bertelle, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1932356581
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334656 Issued in NY
Practice address
7515 13TH Ave
Brooklyn, NY 11228-2409
Phone
(718) 234-8111
Fax
(718) 234-5379
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334656 NY Primary

Addresses

Primary practice location

7515 13TH Ave
Brooklyn, NY 11228-2409

Mailing address

7515 13TH Ave
Brooklyn, NY 11228-2409
Phone (718) 234-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100109000438 NY Practitioner - Nurse Practitioner 9638210800 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
334656NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Bertelle M.D. P.C. CurrentSince Oct 15, 2015 Accepting new patients

Organizations & group practices 1

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1932356581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282409",
            "telephone_number": "718-234-8111",
            "fax_number": "718-234-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282409",
            "telephone_number": "718-234-8111",
            "fax_number": "718-234-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTELLE",
        "first_name": "LORRAINE",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.