TINA LOUISE BERTOLIS (FNP-BC) – Family Nurse Practitioner, NPI 1316428840

TINA LOUISE BERTOLIS (FNP-BC) is a healthcare provider. based in Hobe sound, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. ARNP9244275 (FL). The NPI Number for TINA LOUISE BERTOLIS (FNP-BC) is 1316428840

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TINA LOUISE BERTOLIS (FNP-BC)
NPI
1316428840
Phone
(561) 401-2662
Address
5911 SE CROOKED OAK AVE
Enumeration Date
23 August 2018
Last Update Date
4 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616555511
Graduation Year
2018 (8 years ago)
PAC ID
7416293790
Group Practice PAC ID
3971417825
Professional Enrollment ID
I20190108000192
Address ID
FL334013406WE1309XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TINA LOUISE BERTOLIS (FNP-BC)

  • 5911 SE CROOKED OAK AVE

    HOBE SOUND, FL 334558311

    Phone: (561) 401-2662

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190108000192INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making111107$0
99284Emergency department visit with moderate level of medical decision making104100$0
99283Emergency department visit with low level of medical decision making3030$0
View full utilization report →

Insurance plans in this area (ZIP 33455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971417825View full group profile

Reviews

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Frequently asked questions

What number should I use to identify TINA LOUISE BERTOLIS (FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1316428840 for TINA LOUISE BERTOLIS (FNP-BC).
Does the public listing show TINA LOUISE BERTOLIS (FNP-BC) as active?
TINA LOUISE BERTOLIS (FNP-BC)'s NPI record reflects an active status in NPPES.
What services align with TINA LOUISE BERTOLIS (FNP-BC)'s listing?
TINA LOUISE BERTOLIS (FNP-BC)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TINA LOUISE BERTOLIS (FNP-BC)?
TINA LOUISE BERTOLIS (FNP-BC) is associated with Hobe Sound, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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