CANDICE BERTSCH CRNP
NPI 1841920030
Nurse Practitioner - Family in Dothan, AL

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
287 HEALTHWEST DR, DOTHAN, AL 36303(334) 792-9500(334) 793-1815 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2022, Aug 19, 2022 (2 updates tracked since 2022).

About Candice Bertsch Crnp NPPES

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

CANDICE BERTSCH CRNP (NPI 1841920030) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-121859) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841920030
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDICE BERTSCHCredential: CRNP
Location Address287 HEALTHWEST DRDothan, AL 36303-2031
Mailing Address287 Healthwest DrDothan, AL 36303-2031 · (334) 792-9500 · Fax (334) 793-1815
Fax(334) 793-1815
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1841920030 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 AL · 1-121859
287 HEALTHWEST DR, Dothan, AL 36303

Accepted Insurance

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

Candice Bertsch Crnp 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 ID6608251798
PECOS Enrollment IDI20220909000659
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.
155 services120 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.24
Improvement Activities40

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.

Nurse Practitioner (Family)
287 HEALTHWEST DR
DOTHAN, AL 36303
Pharmacy
287 HEALTHWEST DR
DOTHAN, AL 36303
Internal Medicine (Hematology & Oncology)
287 HEALTHWEST DR
DOTHAN, AL 36303
Nurse Practitioner
287 HEALTHWEST DR
DOTHAN, AL 36303
Nurse Practitioner (Family)
287 HEALTHWEST DR
DOTHAN, AL 36303
Durable Medical Equipment & Medical Supplies
287 HEALTHWEST DR
DOTHAN, AL 36303
Nurse Practitioner (Family)
287 HEALTHWEST DR
DOTHAN, AL 36303
Internal Medicine (Hematology & Oncology)
287 HEALTHWEST DR
DOTHAN, AL 36303

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 Candice Bertsch's NPI number?

The NPI number for Candice Bertsch is 1841920030. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Candice Bertsch located?

Candice Bertsch practices at 287 Healthwest Dr, Dothan, AL 36303. The listed phone number is (334) 792-9500.

What is Candice Bertsch's specialty?

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

Is Candice Bertsch enrolled in Medicare?

Yes. Candice Bertsch 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.

What insurance does Candice Bertsch accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Candice Bertsch 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 Candice Bertsch was last updated on August 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.