THERESA BERTIN FNP
NPI 1093607939
Nurse Practitioner - Family in Saint Louis, MO
About Theresa Bertin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA BERTIN FNP (NPI 1093607939) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2025008816) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa Bertin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Theresa Bertin's NPI number?
The NPI number for Theresa Bertin is 1093607939. It was assigned to this individual provider in the NPPES registry on July 16, 2025.
Where is Theresa Bertin located?
Theresa Bertin practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-5588.
What is Theresa Bertin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Bertin enrolled in Medicare?
Yes. Theresa Bertin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Theresa Bertin was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Theresa Bertin, FNP · NPI 1093607939
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 16, 2025.
## Identity
- **NPI:** 1093607939 (Entity type: Individual)
- **Enumerated:** July 16, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2025008816 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 S NEW BALLAS RD, Saint Louis, MO 63141-8221
- **Phone:** (314) 251-5588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093607939) · Data from the CMS NPPES public registry.