Active NPI 1326545575 Individual Practitioner Female Practitioner

Stacee Byrd Bertolla , CRNP

Nurse Practitioner - Pediatrics • Mobile, AL

Professional Overview & Biography Verified Profile Summary

Stacee Bertolla, CRNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Mobile, AL. Practice services are available at 1700 CENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 Center St

Mobile, AL 366043301

Telephone 2514151144

Associated Practice Facility / Clinic

🏢 University Of South Alabama Facility NPI 1023055191

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Mobile, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 2.5 Yrs

State Avg: 13.2 Yrs

Regional Practice Density

43 Specialists

Practicing in Mobile, AL (380 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AL 1-063545

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Heather Gilbert , CRNP

Nurse Practitioner - Pediatrics

NPI 1205400165

Certified Registered Nurse Practitioner

Erica Atkinson , FNP-C

Nurse Practitioner - Family

NPI 1386456234

Family Nurse Practitioner (Certified)

Ashleigh Bowman

Nurse Practitioner - Pediatrics, Critical Care

NPI 1679921704

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 12, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2018

Registered at 1700 CENTER ST, MOBILE, AL 366043301 (Tel: 2514151144)

📍

Updated Business Mailing Address April 12, 2018

Registered at 16513 COUNTY ROAD 68, LOXLEY, AL 365513219 (Tel: 2512280080)

👤

Provider Name / Credentials Updated April 12, 2018

Recorded as STACEE BERTOLLA, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Nurse Practitioner (License #1-063545 in AL)

🟢

Initial NPI Registration & Enumeration April 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326545575

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2018

Last Update: April 12, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16513 County Road 68

Loxley, AL 365513219

Phone: 2512280080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.