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PETER A. BERTELLI MSN, APRN, PMHNP-BC
NPI 1235766338
Nurse Practitioner - Psychiatric/Mental Health in Lake Wylie, SC

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
244 LATITUDE LN STE 104, LAKE WYLIE, SC 29710(803) 809-3184(803) 615-4662 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Dec 11, 2024, May 11, 2023 and 4 more (7 updates tracked since 2020).

About Peter A. Bertelli Msn, Aprn, Pmhnp-bc NPPES

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

PETER A. BERTELLI MSN, APRN, PMHNP-BC (NPI 1235766338) is an individual psychiatric/mental health provider in Lake Wylie, South Carolina, licensed in South Carolina (28167) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235766338
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePETER A. BERTELLICredential: MSN, APRN, PMHNP-BC
Location Address244 LATITUDE LN STE 104Lake Wylie, SC 29710-8125
Mailing AddressPo Box 1081Clover, SC 29710-4081 · (803) 809-3184 · Fax (803) 615-4662
Phone(803) 809-3184
Fax(803) 615-4662
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 26, 2020
Last NPPES UpdateFebruary 19, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1235766338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in SC · 28167✔ Licensed in WA · AP61656954✔ Licensed in MA · RN2317837✔ Licensed in NC · 5019724
244 LATITUDE LN STE 104, Lake Wylie, SC 29710
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18440 Rea Rd Ste MCharlotte, NC 28277-4230 · Phone (803) 809-3184 · Fax (803) 615-4662
Location 21030 N Center Pkwy Ste 112Kennewick, WA 99336-7160 · Phone (803) 809-3184 · Fax (803) 615-4662
Location 3105 Webster St Ste 5Hanover, MA 02339-1227 · Phone (508) 538-3165 · Fax (508) 571-0210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter A. Bertelli Msn, Aprn, Pmhnp-bc 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 ID1557710597
PECOS Enrollment IDI20231215000691, I20240806001702, I20240823002405, I20260305000824
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Peter Bertelli reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sandalwood Mental Health, PLLC
Same address
Psychiatric/Mental Health
244 LATITUDE LN STE 104
Lake Wylie, SC 29710
  • Reassigned Medicare billing, Massachusetts, North Carolina and South Carolina enrollments
  • 2 clinicians in this Medicare group
NPI 1710662341 (803) 809-3184
Telos Health Systems Nc PLLC
35 mi
Internal Medicine
550 GLENWOOD DR
Mooresville, NC 28115
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Vitae Health Medical North Carolina PLLC
  • 121 clinicians in this Medicare group
NPI 1265064414 (201) 217-6777
Orinoco Wellness, Lc
115 mi
Mental Health
200 N MAIN ST
Graham, NC 27253
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1508577321 (336) 265-6595
Curana Health Of North Carolina PLLC
133 mi
Internal Medicine
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 338 clinicians in this Medicare group
NPI 1770217176 (337) 408-0797
Physicians Eldercare PA
133 mi
General Practice
5306 NC HIGHWAY 55 STE 105
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 365 clinicians in this Medicare group
NPI 1023083268 (337) 991-9276
Ch Specialty Services Sc LLC
163 mi
Family
6650 RIVERS AVE
North Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 338 clinicians in this Medicare group
NPI 1275915522 (337) 991-9276
Curana Health Of South Carolina PC
170 mi
Internal Medicine
2375 BAKER HOSPITAL BLVD
North Charleston, SC 29405
  • Reassigned Medicare billing, South Carolina enrollment
  • 409 clinicians in this Medicare group
NPI 1316477896 (337) 991-9276
Opportunities Industrialization Center, Inc.
191 mi
Federally Qualified Health Center (FQHC)
90 GUARDIAN CT
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 45 clinicians in this Medicare group
NPI 1396103305 (252) 212-3350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29710 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDALWOOD MENTAL HEALTH, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
244 LATITUDE LN STE 104
LAKE WYLIE, SC 29710
York County (803) 809-3184
JESSICA ERINN HUREN LMBT
Massage Therapist
244 LATITUDE LN STE 104
LAKE WYLIE, SC 29710
York County (980) 286-4052

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 Peter Bertelli's NPI number?

The NPI number for Peter Bertelli is 1235766338. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Peter Bertelli located?

Peter Bertelli practices at 244 Latitude Ln Ste 104, Lake Wylie, SC 29710. The listed phone number is (803) 809-3184.

What is Peter Bertelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Peter Bertelli enrolled in Medicare?

Yes. Peter Bertelli 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.

Which organizations bill Medicare for Peter Bertelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Bertelli reassigns Medicare benefits to 8 organizations: Sandalwood Mental Health, PLLC (Lake Wylie, SC), Telos Health Systems Nc PLLC (Mooresville, NC), Orinoco Wellness, Lc (Graham, NC), Curana Health Of North Carolina PLLC (Durham, NC), Physicians Eldercare PA (Durham, NC) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Bertelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Bertelli accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 6 other insurers list Peter Bertelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Bertelli was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.