BERTIE COUNTY RURAL HEALTH ASSOCIATION
NPI 1396886842
Clinic/Center - Federally Qualified Health Center (FQHC) in Windsor, NC
About Bertie County Rural Health Association NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERTIE COUNTY RURAL HEALTH ASSOCIATION (NPI 1396886842) is a healthcare organization registered as a federally qualified health center (fqhc) in Windsor, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through December 5, 2027 and lists Shavonda Pugh, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bertie County Rural Health Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Bertie County Rural Health Association, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0890697
Bertie County Rural Health Association · Windsor, NCFrequently 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 Bertie County Rural Health Association's NPI number?
The NPI number for Bertie County Rural Health Association is 1396886842. It was assigned to this organization in the NPPES registry on February 9, 2007.
Where is Bertie County Rural Health Association located?
Bertie County Rural Health Association is located at 104 Rhodes Avenue, Windsor, NC 27983. The listed phone number is (252) 794-3042.
What is Bertie County Rural Health Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Bertie County Rural Health Association enrolled in Medicare?
Yes. Bertie County Rural Health Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bertie County Rural Health Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 6 Medicare specialties reassign their Medicare billing to Bertie County Rural Health Association. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (3) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bertie County Rural Health Association hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0890697) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bertie County Rural Health Association accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Bertie County Rural Health Association 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 Bertie County Rural Health Association was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Bertie County Rural Health Association · NPI 1396886842
Federally Qualified Health Center (FQHC) organization in Windsor, North Carolina. Organization record, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1396886842 (Entity type: Organization)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Shavonda Pugh, CEO
## Practice location
- **Address:** 104 RHODES AVENUE, Windsor, NC 27983-9656
- **Phone:** (252) 794-3042 · **Fax:** (252) 794-2911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (3), Internal Medicine (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2025
- **Other identifiers:** Medicaid 344512A (NC); Other 341825 (NC); Medicaid 344512C (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396886842) · Data from the CMS NPPES public registry.