CMS-1500 Box 24J / 33a • NPI
1710138268
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
8745 HENDERSON RD, TAMPA, FL, 33634-1150
✓ 9-Digit EDI 837 ZIP+4 (33634-1150)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1710138268 (HEATHER MARIE BERTOLERO, APRN) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1710138268 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HEATHER MARIE BERTOLERO, APRN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8745 HENDERSON RD, TAMPA, FL, 33634-1150 |
| Practice Telephone / Fax | Tel: (813) 922-2526 | Fax: (888) 768-5029 |
| Administrative Mailing Address | 4145 BONFIRE DR, ODESSA, FL, 33556-4598 |
| Enumeration & Last Sync | Enumerated: 2008-10-02 | CMS Record Updated: 2025-09-19 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HEATHER MARIE BERTOLERO, APRN)
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 |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: MA | License: RN2359345 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: FL | License: APRN9432150 | Primary: Yes (Primary) |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: NJ | License: NJ001666 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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