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 and maintains a secondary practice location in San Diego.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Bertha M Ilongo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bertha Ilongo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eastvale, CA 92880
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Bertha Ilongo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bertha Ilongo reassigns Medicare benefits to Beachman Psychiatry & Addiction Medical Clinic, Inc. (Eastvale, CA). The 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 Bertha Ilongo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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
- **Bills Medicare through:** Beachman Psychiatry & Addiction Medical Clinic, Inc. (NPI 1891588596, Eastvale, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.