ABBY BERTHOLF
NPI 1336980812
Family Medicine in Wichita, KS

Q: What is Abby Bertholf's NPI number?

The NPI number for Abby Bertholf is 1336980812. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Q: What is Abby Bertholf's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Abby Bertholf was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 06, 2024PECOS Enrolled

929 N SAINT FRANCIS AVE, WICHITA, KS 67214(316) 268-5000 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Abby Bertholf NPPES

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

ABBY BERTHOLF (NPI 1336980812) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (94-11952) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336980812

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameABBY BERTHOLF

Location Address929 N SAINT FRANCIS AVEWichita, KS 67214-3821

Mailing Address929 N Saint Francis AveWichita, KS 67214-3821 · (316) 268-5000

Phone(316) 268-5000

Sole ProprietorNo

Enumeration DateJune 6, 2024

NPPES CertifiedJune 6, 2024

✔ NPI 1336980812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 94-11952

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

929 N SAINT FRANCIS AVE, Wichita, KS 67214

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abby Bertholf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 67214 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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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.

LAUREN A HOLMES PA-C

Physician Assistant