Active NPI 1629028121 Individual Practitioner Female Practitioner

Nancy Bertaux , NP

Nurse Practitioner • Marblehead, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nancy Bertaux, NP is a certified Nurse Practitioner practicing in Marblehead, MA. With approximately 36 years of clinical experience since completing medical education in 1990, Nancy Bertaux delivers high-quality medical care to the local community at 1 WIDGER RD.

Nancy Bertaux is affiliated with Mass General Brigham Medical Group Northern Massachusetts Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, 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

1 Widger Rd

Marblehead, MA 01945

Telephone 7816315126

Fax 7816315175

Associated Practice Facility / Clinic

🏢 North Shore Physical Therapy Associates, Inc. Facility NPI 1912984212

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marblehead, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Marblehead, MA (3545 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bertaux (36 Years) 36 Yrs

Marblehead Specialty Average (36.0 Years) 36.0 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$391.00	$78.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$534.31	$113.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$531.09	$113.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$461.43	$115.42
99442 Telephone medical discussion with physician, 11-20 minutes	22	21	$315.00	$81.64
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$327.63	$81.40
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$466.85	$115.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	70	$308.82	$67.35
99442 Telephone medical discussion with physician, 11-20 minutes	75	69	$307.27	$67.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$449.00	$97.53
99443 Telephone medical discussion with physician, 21-30 minutes	40	38	$448.25	$97.06
G0008 Administration of influenza virus vaccine	30	30	$108.00	$19.02
90662 Influenza vaccine split virus, preservative free	29	29	$89.97	$60.98
99441 Telephone medical discussion with physician, 5-10 minutes	19	16	$189.58	$40.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$297.73	$65.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	56	$426.24	$95.54
99213 Established patient office or other outpatient visit, typically 15 minutes	52	47	$290.23	$65.04
G0008 Administration of influenza virus vaccine	17	17	$105.41	$23.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$465.20	$103.77
90662 Influenza vaccine split virus, preservative free	15	15	$103.00	$50.88
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$87.00	$15.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	163	$281.47	$64.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	117	$415.49	$94.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$452.57	$101.79
G0008 Administration of influenza virus vaccine	45	45	$102.47	$28.66
90662 Influenza vaccine split virus, preservative free	42	42	$55.86	$47.46
81002 Urinalysis, manual test	16	16	$25.00	$3.43
99496 Transitional care management services for problem of high complexity	11	11	$898.73	$203.13
G0009 Administration of pneumococcal vaccine	11	11	$101.55	$28.66

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 171584

(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.

Hospital & Practice Group Affiliations

Mass General Brigham Medical Group Northern Massachusetts Inc

1 Widger Rd, Marblehead, MA 019452146

Phone: 7816315726

Mass General Brigham Medical Group Northern Massachusetts Inc

1 Hutchinson Dr, Danvers, MA 019233748

Phone: 9787396950

Practice Associates & Co-Workers

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

12 Associated Practitioners

Erin Decew , FNP-C, RN

Nurse Practitioner - Family

NPI 1104535202

Family Nurse Practitioner (Certified), Registered Nurse

Leslie Young , FNP-BC, RN

Nurse Practitioner - Family

NPI 1194061317

Family Nurse Practitioner (Board Certified), Registered Nurse

Christine Sullivan , LCSW

Social Worker

NPI 1194267310

Licensed Clinical Social Worker

Deanna Mcmahon , FNP-C

Nurse Practitioner - Primary Care

NPI 1215654744

Family Nurse Practitioner (Certified)

Emma Novy , NP

Nurse Practitioner - Family

NPI 1265229058

Nurse Practitioner

Dr. Rebecca Orendorff , MD

Family Medicine

NPI 1427066224

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2010

Registered at 1 WIDGER RD, MARBLEHEAD, MA 01945 (Tel: 7816315126)

📍

Updated Business Mailing Address May 20, 2010

Registered at PO BOX 930, SALEM, MA 01970 (Tel: 9788256581)

👤

Provider Name / Credentials Updated May 20, 2010

Recorded as NANCY BERTAUX, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2010

Nurse Practitioner (License #171584 in MA)

🟢

Initial NPI Registration & Enumeration May 12, 2006

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: 1629028121

Entity Type:

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

Enumeration Date: May 12, 2006

Last Update: May 20, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 930

Salem, MA 01970

Phone: 9788256581

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.