JENNIFER BERTOLASIO MOL (PA) – Physician Assistant, NPI 1255629101
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER BERTOLASIO MOL (PA)
2150 MAIN ST
SPRINGFIELD, MA 011043566
Phone: (413) 733-0010
Fax: (413) 930-2108
Type: Location
PO BOX 366
LUDLOW, MA 010560366
Phone: (413) 733-0010
Fax: (413) 930-2108
Type: Mailing
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 010891320
Phone: (413) 733-0010
Fax: (413) 417-2978
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-01-19 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $23 |
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: 2011-09-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110902000244 | I | Physician Assistant | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 624 | 142 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 318 | 158 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 66 | 63 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 32 | 23 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 01104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MA | |
| - | MA | |
| N E P H R O L O G Y | CT | |
| N E P H R O L O G Y | MA | |
| Internal Medicine | MA | |
| - | MA | |
| N E P H R O L O G Y | MA | |
| N E P H R O L O G Y | MA | |
| - | MA | |
| N E P H R O L O G Y | MA |
Reviews
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