TERESE M BERTUCCI APN
NPI 1366510430
Nurse Practitioner in Maywood, IL

Q: What is Terese Bertucci's NPI number?

The NPI number for Terese Bertucci is 1366510430. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Terese Bertucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Terese Bertucci was last updated on April 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2006PECOS Enrolled

2160 S 1ST AVE, FAHEY BLDG., ROOM 137, MAYWOOD, IL 60153(708) 216-0160(708) 216-5285 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Terese M Bertucci Apn NPPES

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

TERESE M BERTUCCI APN (NPI 1366510430) is an individual nurse practitioner in Maywood, Illinois, licensed in Illinois (209-000449) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366510430

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTERESE M BERTUCCICredential: APN

Location Address2160 S 1ST AVE, FAHEY BLDG., ROOM 137Maywood, IL 60153-3328

Mailing Address2160 S 1st Ave, Fahey Bldg., Room 137Maywood, IL 60153-3328 · (708) 216-0160 · Fax (708) 216-5285

Phone(708) 216-0160

Fax(708) 216-5285

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1366510430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209-000449

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2160 S 1ST AVE, Maywood, IL 60153

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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)

Terese M Bertucci Apn 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 60153 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers73 claims74 services$184.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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