LORA ETHELYN BERTELL, PharmD — NPI 1063544617 (Licensed & Credentialed Pharmacist, Oncology in BELVIDERE, IL)

CMS-1500 Box 24J / 33a • NPI

1063544617

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835X0200X

Licensed & Credentialed Pharmacist, Oncology

Box 32 Service Location & ZIP+4

11829 BANCHARY RD, BELVIDERE, IL, 61008-7175

✓ 9-Digit EDI 837 ZIP+4 (61008-7175)

Practice Phone & Referral Fax

(815) 885-4424

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063544617 (LORA ETHELYN BERTELL, PharmD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063544617` (NPI-1 Individual Practitioner)
Provider / Legal Name	LORA ETHELYN BERTELL, PharmD
Plain-English Specialty	Licensed & Credentialed Pharmacist, Oncology NUCC Code: `1835X0200X` (Pharmacist, Oncology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11829 BANCHARY RD, BELVIDERE, IL, 61008-7175
Practice Telephone / Fax	Tel: (815) 885-4424
Administrative Mailing Address	11829 BANCHARY RD, BELVIDERE, IL, 61008-7175
Enumeration & Last Sync	Enumerated: 2007-03-09 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11829 BANCHARY RD, BELVIDERE, IL, 61008-7175

🗺️ Open in Google Maps 🏥 More Providers in BELVIDERE

🔒 Are you LORA ETHELYN BERTELL, PharmD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1835X0200X)

What Does Taxonomy Code 1835X0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835X0200X translates to:
"Licensed & Credentialed Pharmacist, Oncology"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Oncology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LORA ETHELYN BERTELL, PharmD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835X0200X` — Pharmacist, Oncology Plain English: Licensed & Credentialed Pharmacist, Oncology	State: IL \| License: `051286505` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

LORA ETHELYN BERTELL, PharmD (NPI #1063544617)