HOLLY BERTHOD APRN
NPI 1053903443
Nurse Practitioner - Women's Health in Pascoag, RI

Active since February 07, 2021PECOS EnrolledAccepts Medicare Assignment
99 PASCOAG MAIN ST, PASCOAG, RI 02859(401) 744-3374 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2021, Feb 7, 2021 (2 updates tracked since 2021).

About Holly Berthod Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY BERTHOD APRN (NPI 1053903443) is an individual women's health provider in Pascoag, Rhode Island, licensed in Rhode Island (APRN02465) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and is a graduate of Georgetown University School Of Medicine (2020).

NPPES Registry Identity

NPI1053903443
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameHOLLY BERTHODCredential: APRN
Location Address99 PASCOAG MAIN STPascoag, RI 02859-3103
Mailing Address99 Pascoag Main StPascoag, RI 02859-3103 · (401) 744-3374
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2020
Enumeration DateFebruary 7, 2021
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
NPI 1053903443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in RI · APRN02465
99 PASCOAG MAIN ST, Pascoag, RI 02859

Other Names 1

Former Name (1)Holly Ratcliffe

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly Berthod Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143699728
PECOS Enrollment IDI20221205001251
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02859 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Berthod's NPI number?

The NPI number for Holly Berthod is 1053903443. It was assigned to this individual provider in the NPPES registry on February 7, 2021. The provider is also known as Holly Ratcliffe.

Where is Holly Berthod located?

Holly Berthod practices at 99 Pascoag Main St, Pascoag, RI 02859. The listed phone number is (401) 744-3374.

What is Holly Berthod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Holly Berthod enrolled in Medicare?

Yes. Holly Berthod is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Holly Berthod affiliated with any hospitals?

According to CMS data, Holly Berthod is affiliated with Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Holly Berthod was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.