Samuel Bertoch, FNP-C

ActiveIndividual ProviderNurse Practitioner
NPI issued: June 15, 2021

Quick Facts

NPI Number
1417525544
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363L00000X — Nurse Practitioner
Phone
(435) 722-9250
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1417525544)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 15, 2021)
Data source: CMS NPPES

Provider Overview

SAMUEL BERTOCH, FNP-C is a Nurse Practitioner provider based in Roosevelt, UT who has been registered with CMS since 2021. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417525544
Provider TypeIndividual Provider
GenderMale
CredentialFNP-C
StatusActive
Enumeration DateJune 15, 2021

Practice Location

CityRoosevelt
StateUT
ZIP Code84066
Phone(435) 722-9250

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363L00000X
License StateUT

Mailing Address

CityRoosevelt
StateUT
ZIP Code84066
Phone(435) 722-9250
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1417525544 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1417525544for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1417525544 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

📊
95,352
Nurse Practitioner Providers in the US

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Sharon Henle

📍 Roosevelt, NY 11575-1845

Angala Bryson

📍 Roosevelt, UT 84066-3820

Other Healthcare Providers in Roosevelt

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Jon Wilson, O.D

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Shaila Vasa, DDS

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Custom Medical Services

Specialty not listed

Adam Nielson, MD

Emergency Medicine

People Also Ask

What is Samuel Bertoch's NPI number?
Samuel Bertoch's NPI number is 1417525544, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Samuel Bertoch's NPI currently active?
Yes, Samuel Bertoch's NPI status is Active as of the latest CMS NPPES database updates.
What does Samuel Bertoch specialize in?
Samuel Bertoch specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363L00000X.
Where does Samuel Bertoch practice?
Samuel Bertoch practices in Roosevelt, UT 84066.
When was Samuel Bertoch's NPI issued?
Samuel Bertoch's NPI was issued on June 15, 2021.
What is Samuel Bertoch's provider type?
Samuel Bertoch is registered as an Individual Provider under CMS NPI Type 1.