Active NPI 1053511378 Individual Practitioner Female Practitioner

Karlene Hertle Bert , NURSE PRACTITIONER

Nurse Practitioner • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Karlene Bert, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner in Modesto, CA. Practice services are available at 1878 E HATCH RD under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1878 E Hatch Rd

Modesto, CA 953515002

Telephone 2096028415

Fax 2094917184

Associated Practice Facility / Clinic

🏢 Davis Guest Home, Inc. Facility NPI 1699830448

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Modesto, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.8 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

96 Specialists

Practicing in Modesto, CA (8378 Statewide)

Telehealth Adoption Rate

13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,247	164	$205.04	$107.36
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	469	54	$249.52	$155.96
G0008 Administration of influenza virus vaccine	100	94	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	52	48	$82.12	$78.97
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	46	44	$75.00	$20.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	933	124	$205.00	$108.95
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	716	106	$249.50	$158.79
G0008 Administration of influenza virus vaccine	68	67	$30.00	$26.69
90662 Influenza vaccine split virus, preservative free	44	43	$75.00	$71.93
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$75.00	$20.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	1,614	173	$204.38	$165.32
G0008 Administration of influenza virus vaccine	113	100	$30.00	$26.12
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	92	84	$75.00	$20.07
90662 Influenza vaccine split virus, preservative free	22	19	$75.00	$68.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	1,404	181	$200.10	$165.57
G0008 Administration of influenza virus vaccine	70	69	$30.36	$15.15
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	57	57	$75.00	$19.91
90662 Influenza vaccine split virus, preservative free	47	46	$71.60	$62.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$154.17	$100.66
G0009 Administration of pneumococcal vaccine	18	18	$31.11	$15.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	1,429	183	$160.59	$144.21
G0008 Administration of influenza virus vaccine	150	143	$49.07	$17.68
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	150	143	$30.00	$19.58
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	50	49	$60.00	$51.31
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	19	17	$125.00	$81.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	1,123	182	$120.23	$114.61
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	130	127	$36.23	$18.65
G0008 Administration of influenza virus vaccine	118	115	$30.00	$17.33
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	11	11	$250.00	$184.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	909	156	$120.00	$117.29
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	105	105	$30.00	$17.48
G0008 Administration of influenza virus vaccine	105	105	$40.00	$21.47
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	17	17	$200.00	$157.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	879	141	$224.86	$155.12
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	113	113	$39.82	$17.48
G0008 Administration of influenza virus vaccine	113	113	$26.87	$26.11
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	16	16	$271.88	$185.06

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 295673

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5419135 (CA)

Commercial Insurance / Payer ID License

295673 NPF 4111

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Joe Neal , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1073553954

Doctor of Medicine (M.D.)

Dr. Gurpreet Dhanoa , MD

Family Medicine

NPI 1578792859

Doctor of Medicine (M.D.)

Sandra Gaskell , CCC-SLP SLPD RPA

Speech-Language Pathologist

NPI 1588979058

CCCSLPSLPDRPA

Dorothy Slayter , RN BSN RNFA

Surgery

NPI 1659321172

RNBSNRNFA

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2015

Registered at 1878 E HATCH RD, MODESTO, CA 953515002 (Tel: 2096028415)

📍

Updated Business Mailing Address January 27, 2015

Registered at PO BOX 576649, MODESTO, CA 953576649 (Tel: 2095718330)

👤

Provider Name / Credentials Updated January 27, 2015

Recorded as KARLENE BERT, NURSE PRACTITIONER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2015

Nurse Practitioner (License #295673 in CA)

🟢

Initial NPI Registration & Enumeration July 24, 2007

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: 1053511378

Entity Type:

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

Enumeration Date: July 24, 2007

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 576649

Modesto, CA 953576649

Phone: 2095718330

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.