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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: August 02, 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 1105 Webster St Ste 5Hanover, MA 02339-1227 · Phone (508) 538-3165 · Fax (508) 571-0210
Location 28440 Rea Rd Ste MCharlotte, NC 28277-4230 · Phone (803) 809-3184 · Fax (803) 615-4662
Location 31030 N Center Pkwy Ste 112Kennewick, WA 99336-7160 · Phone (803) 809-3184 · Fax (803) 615-4662

Accepted Insurance

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

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

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.

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

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

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.

What insurance does Peter Bertelli accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 4 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 17 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.