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Alexis Bertolla

Nurse Practitioner - Pediatrics β€’ Mobile, AL

Active NPI 1679249155 Individual Practitioner Female Practitioner
Practice location in NPPES

1700 Center St
Mobile, AL 366043301

Call 2514151000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1700 Center St

Mobile, AL 366043301

Telephone 2514151000
Fax 2514151001
Organization at the Same NPPES Address or Phone
University Of South Alabama Facility NPI 1023055191

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alexis Bertolla has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alexis Bertolla as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mobile and Alabama

43 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Mobile, AL (378 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mobile

0% of these 43 clinicians have the CMS telehealth indicator.

2.3% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-16
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES AL 1-166074
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20211201002230

Enrollment State Jurisdiction

AL

PECOS Control ID

0941690101

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Winston Ashurst , MD

Student in an Organized Health Care Education/Training Program

NPI 1831279678

Doctor of Medicine (M.D.)

Mary Benfield , CRNP

Nurse Practitioner - Family

NPI 1083267967

Certified Registered Nurse Practitioner

Cassandra Brewer , NP

Nurse Practitioner - Family

NPI 1235655721

Nurse Practitioner

Dr. Holly Dunn , MD

Emergency Medicine

NPI 1689680720

Doctor of Medicine (M.D.)

Dr. Julie Grinstead , MD

Obstetrics & Gynecology

NPI 1376635177

Doctor of Medicine (M.D.)

Allie Moore

Nurse Practitioner - Family

NPI 1346802808

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location February 16, 2024

Registered at 1700 CENTER ST, MOBILE, AL 366043301 (Tel: 2514151000)

βœ…
NPI Profile Active August 17, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 17, 2021

Registered at 1601 CENTER ST, MOBILE, AL 366041541 (Tel: 2514105437)

πŸ“
Business Mailing Address (Initial Record) August 17, 2021

Registered at PO BOX 746450, ATLANTA, GA 303746450 (Tel: 2514343626)

πŸ‘€
Provider Name / Credentials (Initial Record) August 17, 2021

Recorded as ALEXIS BERTOLLA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2021

Nurse Practitioner (license number reported to NPPES: AL 1-166074)

🟒
Initial NPI Registration & Enumeration August 17, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679249155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2021
Last Update: February 16, 2024
Sole Proprietor: No

Mailing Address

Po Box 746450

Atlanta, GA 303746450

Phone: 8664013057

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.