MS. ELIZABETH ANN BERTUCH (MS, APRN, BC, PC) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1508935024
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
199 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MA
Provider Addresses for MS. ELIZABETH ANN BERTUCH (MS, APRN, BC, PC)
114 WHITE LOAF RD
SOUTHAMPTON, MA 010739550
Phone: (413) 532-6777
Fax: (413) 532-6777
Type: Mailing
117 PARK AVE STE 300
WEST SPRINGFIELD, MA 010893363
Phone: (141) 353-2677
Fax: (413) 532-6744
Type: Location
1232;1236, Main Street, Brightside, Holyoke, Hampden County, Massachusetts, 01013, United States
SUITE 202A
HOLYOKE, MA 010402955
Phone: (413) 532-6777
Fax: (413) 532-6744
Type: Location
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: 2025-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050307000136 | I | Certified Clinical Nurse Specialist (Cns) | MA | TBD |
| I20250805001153 | I | Certified Clinical Nurse Specialist (Cns) | NC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 341 | 44 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 276 | 41 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 33 | 15 | $0 |
Insurance plans in this area (ZIP 01073)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | MA | 90836 | Psychotherapy, 45 minutes with patient and/or family member | 142 | 23 |
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