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Active NPI 1104171321 Individual Practitioner Female Practitioner

Jennifer Rose Bertolon , CPNP, RN

Nurse Practitioner - Pediatrics • Beverly, MA

Professional Overview & Biography Verified Profile Summary

Jennifer Bertolon, CPNP, RN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Beverly, MA. Practice services are available at 245 DODGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

245 Dodge St

Beverly, MA 019151275

Telephone 9786180239

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Beverly, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Beverly, MA (1318 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 MA 20121422

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License MA RN2269678

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2012

Registered at 245 DODGE ST, BEVERLY, MA 019151275 (Tel: 9786180239)

📍
Updated Business Mailing Address July 14, 2012

Registered at 245 DODGE ST, BEVERLY, MA 019151275 (Tel: 9786180239)

👤
Provider Name / Credentials Updated July 14, 2012

Recorded as JENNIFER BERTOLON, CPNP, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2012

Registered Nurse (License #RN2269678 in MA)

🟢
Initial NPI Registration & Enumeration July 14, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104171321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2012
Last Update: July 14, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

245 Dodge St

Beverly, MA 019151275

Phone: 9786180239

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.