MS. LAURIE BERTHOLD CPNP NPI 1831188051

Nurse Practitioner (Pediatrics) in Selma, CA

NPI 1831188051 Individual Female Nurse Practitioner Pediatrics PECOS Enrolled

About LAURIE BERTHOLD

Laurie Berthold is a provider established in Selma, California and her medical specialization is nurse practitioner (pediatrics) . The NPI number of Laurie Berthold is 1831188051 and was assigned on October 2005. The practitioner's primary taxonomy code is 363LP0200X with license number 321100 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A nurse practitioner (NP) like Ms. Laurie Berthold Cpnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Laurie Berthold is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Laurie Berthold is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1831188051

Provider NameMS. LAURIE BERTHOLD CPNP
Provider Location Address2651 HIGHLAND AVE KAISER PERMANENTE DEPT OF PEDIATRICS SELMA, CA 93662
Provider Mailing Address2651 HIGHLAND AVE FRESNO, CA 93622
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-20-2005
Last Update Date10-10-2014


Primary Taxonomy

Taxonomy Code363LP0200X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPediatrics
License No.321100
License StateCA

Business Address

MS. LAURIE BERTHOLD CPNP
2651 HIGHLAND AVE
KAISER PERMANENTE DEPT OF PEDIATRICS
SELMA, CA
ZIP 93662
Phone: (559) 898-6140

Get Directions


Mailing Address

MS. LAURIE BERTHOLD CPNP
2651 HIGHLAND AVE
FRESNO, CA
ZIP 93622
Phone: (559) 898-6140
Fax: (559) 898-6236



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P17708MEDICARE UPIN (02)CA
ZZZ19198ZMEDICARE ID-TYPE UNSPECIFIED (04)CA

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174601066 RICHARD L. PIEL MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1376621284 ETSEHIWOT TAYE MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1225116049 LORRAINE LOPEZ MD
Individual
Pediatrics2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1174601991 BIMALROY N. SHAH MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1447339239 PAUL L. WILLIAMS MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1265504070 AIMEE L. SIMBRE MD
Individual
Pediatrics2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1134279946 NELSON A. RODRIGUEZ MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1093246753 ALLAN WONG
Individual
Pharmacist2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6180
1295267011DR. DAO MOUA PHARM.D.
Individual
Pharmacist2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6240
1124550579 RAYMOND CHAN
Individual
Pharmacist2651 HIGHLAND AVE
SELMA, CA 93662
(559) 448-6180
1780895631MRS. LORI ANN EMLER NP
Individual
Nurse Practitioner (Primary Care)2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6000
1932498276 SHRUTI ROY JOSEPH M.D.
Individual
Family Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6100
1508913831KAISER FOUNDATION HEALTH PLAN INC
Organization
Pharmacy (Community/Retail Pharmacy)2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6011

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.