MS. BERTHA M ILONGO NP
NPI 1851659171
Nurse Practitioner - Psychiatric/Mental Health in Eureka, CA
About Ms. Bertha M Ilongo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BERTHA M ILONGO NP (NPI 1851659171) is an individual psychiatric/mental health provider in Eureka, California, licensed in California (95233258) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Bertha M Ilongo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EUREKA, CA 95501
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 Bertha Ilongo's NPI number?
The NPI number for Bertha Ilongo is 1851659171. It was assigned to this individual provider in the NPPES registry on April 24, 2012.
Where is Bertha Ilongo located?
Bertha Ilongo practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.
What is Bertha Ilongo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bertha Ilongo enrolled in Medicare?
Yes. Bertha Ilongo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Bertha Ilongo was last updated on May 21, 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.
# Ms. Bertha M Ilongo, NP · NPI 1851659171
Psychiatric/Mental Health physician in Eureka, California. Individual provider, active in the CMS NPPES registry since April 24, 2012.
## Identity
- **NPI:** 1851659171 (Entity type: Individual)
- **Enumerated:** April 24, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95233258 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 WOOD ST, Eureka, CA 95501-4413
- **Phone:** (707) 268-2990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851659171) · Data from the CMS NPPES public registry.