CMS-1500 Box 24J / 33a • NPI
1558828426
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
344 LAKEWOOD RD, MADISON, ME, 04950-3015
✓ 9-Digit EDI 837 ZIP+4 (04950-3015)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1558828426 (AMY MAE BERTONE, FNP) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1558828426)
Medicare Beneficiaries
154
Total Billed Services
174
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$10,932.75
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 113 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 32 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 28 | 26 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 31 | 31 |
| Azithromycin Azithromycin | 32 | 30 |
| Cephalexin Cephalexin | 13 | 13 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 22 | 21 |
| Doxycycline Hyclate Doxycycline Hyclate | 45 | 45 |
| Fluticasone Propionate Fluticasone Propionate | 28 | 28 |
| Methylprednisolone Methylprednisolone | 51 | 50 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1558828426 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMY MAE BERTONE, FNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 344 LAKEWOOD RD, MADISON, ME, 04950-3015 |
| Practice Telephone / Fax | Tel: (207) 474-2994 | Fax: (207) 858-0201 |
| Administrative Mailing Address | PO BOX 468, SKOWHEGAN, ME, 04976-0468 |
| Enumeration & Last Sync | Enumerated: 2019-02-26 | CMS Record Updated: 2026-01-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMY MAE BERTONE, FNP)
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
- 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 |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: ME | License: CNP191036 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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