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GABRIELLE BERTHIAUME NP
NPI 1396354973
Nurse Practitioner - Family in Middletown, CT

Active since July 29, 2020PECOS EnrolledAccepts Medicare Assignment
520 SAYBROOK RD STE 210, MIDDLETOWN, CT 06457(860) 358-2970(860) 347-1630 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2022, Jul 29, 2020 (2 updates tracked since 2020).

About Gabrielle Berthiaume Np NPPES

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

GABRIELLE BERTHIAUME NP (NPI 1396354973) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (12.008995) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396354973
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGABRIELLE BERTHIAUMECredential: NP
Location Address520 SAYBROOK RD STE 210Middletown, CT 06457-4740
Mailing Address28 Crescent StMiddletown, CT 06457-3650 · (860) 358-6000
Phone(860) 358-2970
Fax(860) 347-1630
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2020
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1396354973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 12.008995
520 SAYBROOK RD STE 210, Middletown, CT 06457
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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 and accepts Medicare assignment

Gabrielle Berthiaume Np 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 ID1658799382
PECOS Enrollment IDI20200914000234
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 4

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

DANA MARIE CANTIELLO APRN, FNP-C
Nurse Practitioner (Family)
520 SAYBROOK RD STE 210
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2970
MARY SUZANNE IZZO RD
Dietitian, Registered
520 SAYBROOK RD STE 210
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (603) 582-9708
MS. KITTIE LEE SPEDDING MS RD
Dietitian, Registered
520 SAYBROOK RD STE 210
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2970
JONATHAN S ARANOW MD
Surgery
520 SAYBROOK RD STE 210
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (603) 582-9708

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 Gabrielle Berthiaume's NPI number?

The NPI number for Gabrielle Berthiaume is 1396354973. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Gabrielle Berthiaume located?

Gabrielle Berthiaume practices at 520 Saybrook Rd Ste 210, Middletown, CT 06457. The listed phone number is (860) 358-2970.

What is Gabrielle Berthiaume's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gabrielle Berthiaume enrolled in Medicare?

Yes. Gabrielle Berthiaume 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.

When was this NPI record last updated?

The NPPES record for Gabrielle Berthiaume was last updated on February 20, 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.