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Mara Bertoli, NP-C

NPI 1700293339ActiveIndividual· Nurse Practitioner, Family· Santa Rosa, CA

Nurse Practitioner, Family (NP-C) with Providence Medical Foundation, practicing in Santa Rosa, California. Their prescriptions cost Medicare Part D more than their services did: $191,718 for 3,000 claims, against $111,635 paid for services in 2024. Lists Petaluma Valley Hospital and 1 other hospital as hospital affiliations.

Overview

NPI1700293339
StatusActive
Entity typeIndividual
CredentialNP-C
Sole proprietorNo
NPI issuedJul 15, 2014
Last updated in NPPESJul 6, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X95000942CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients290
Services billed4,523 across 48 procedure codes
Paid by Medicare$111,635

Part D prescriptions in 2024

Prescriptions (claims)3,000 · 6,845 30-day fills
Patients367
Total drug cost$191,718
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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