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MRS. JIAN XIN BERTOLINO AGPCNP/BC
NPI 1922500982
Nurse Practitioner - Primary Care in Flushing, NY

Active since March 06, 2018PECOS Enrolled
5620 MAIN ST, FLUSHING, NY 11355(718) 670-1837(718) 961-1853 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Mrs. Jian Xin Bertolino Agpcnp/bc NPPES

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

MRS. JIAN XIN BERTOLINO AGPCNP/BC (NPI 1922500982) is an individual primary care provider in Flushing, New York, licensed in New York (F308582-1) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922500982
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. JIAN XIN BERTOLINOCredential: AGPCNP/BC
Location Address5620 MAIN STFlushing, NY 11355-5046
Mailing Address5620 Main StFlushing, NY 11355-5046 · (718) 670-1837 · Fax (718) 961-1853
Phone(718) 670-1837
Fax(718) 961-1853
Sole ProprietorYes
Enumeration DateMarch 6, 2018
Last NPPES UpdateAugust 14, 20182 updates tracked since enumeration
✔ NPI 1922500982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F308582-1
5620 MAIN ST, Flushing, NY 11355
Open in Google Maps ↗

Other Identifiers 1

Medicaid05133835NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jian Xin Bertolino Agpcnp/bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jian Xin Bertolino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Queens Medicine And Surgery, P.C.
0.1 mi
Multi-Specialty
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
NPI 1740792233 (718) 661-8706
North Shore - Lij Medical PC
6.1 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUNAN ZHAO NP
Nurse Practitioner (Family)
5620 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1837
DR. JAIME H NIETO M.D.
Neurological Surgery
5620 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1837
MS. KRISTINA M ZENON NP
Nurse Practitioner
5620 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1837
INGRID BENITES RN
Neurological Surgery
5620 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1837

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 Jian Xin Bertolino's NPI number?

The NPI number for Jian Xin Bertolino is 1922500982. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Jian Xin Bertolino located?

Jian Xin Bertolino practices at 5620 Main St, Flushing, NY 11355. The listed phone number is (718) 670-1837.

What is Jian Xin Bertolino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jian Xin Bertolino enrolled in Medicare?

Yes. Jian Xin Bertolino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jian Xin Bertolino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jian Xin Bertolino reassigns Medicare benefits to 2 organizations: New York Queens Medicine And Surgery, P.C. (Flushing, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 Jian Xin Bertolino'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 Jian Xin Bertolino was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.