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JUDITH BERTRAM NP
NPI 1578456174
Nurse Practitioner - Psychiatric/Mental Health in Lodi, NJ

Active since June 02, 2025PECOS Enrolled

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Judith Bertram Np NPPES

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

JUDITH BERTRAM NP (NPI 1578456174) is an individual psychiatric/mental health provider in Lodi, New Jersey, licensed in New York (406855) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1578456174
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUDITH BERTRAMCredential: NP
Location Address10 HUGHES STLodi, NJ 07644-1211
Mailing Address10 Hughes StLodi, NJ 07644-1211
Phone(917) 806-8916
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1578456174 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
License✔ Licensed in NY · 406855
10 HUGHES ST, Lodi, NJ 07644
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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)

Judith Bertram Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183103138
PECOS Enrollment IDI20260210000771
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 07644 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Judith Bertram's NPI number?

The NPI number for Judith Bertram is 1578456174. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Judith Bertram located?

Judith Bertram practices at 10 Hughes St, Lodi, NJ 07644. The listed phone number is (917) 806-8916.

What is Judith Bertram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Judith Bertram enrolled in Medicare?

Yes. Judith Bertram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Bertram was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.