Individual provider Active NPI

Maria Elisabeth Bertagnolli, FNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1932424959
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN50424 Issued in DC
Practice address
3301 New Mexico Ave NW
Suite 210
Washington, DC 20016-3622
Phone
(202) 363-9600
Fax
(202) 363-9601
NPI assigned
Apr 1, 2010
Last updated
May 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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 RN50424 DC Primary

Addresses

Primary practice location

3301 New Mexico Ave NW
Suite 210
Washington, DC 20016-3622

Mailing address

3301 New Mexico Ave NW
Suite 210
Washington, DC 20016-3622
Phone (202) 363-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101026000485 DC Practitioner - Nurse Practitioner 6103019831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marymount University, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Dermatology PLLCGroup PAC ID 3870649767, 3 clinicians

Practice addresses (Care Compare)

3301 New Mexico Ave NW
Suite 210
Washington, DC 20016-3627
Phone (202) 363-9600

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
79.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Dermatology PLLC CurrentSince Jun 26, 2010 Accepting new patients

Locations

3301 New Mexico Ave NW
Ste 210
Washington, DC 20016
Phone (202) 363-9600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1932424959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-363-9600",
            "fax_number": "202-363-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-363-9600",
            "fax_number": "202-363-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTAGNOLLI",
        "first_name": "MARIA",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN50424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.