Karlene Bert, NURSE PRACTITIONER
NPI 1053511378 · Nurse Practitioner · Modesto, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karlene Bert, NURSE PRACTITIONER is a Nurse Practitioner provider in Modesto, CA (NPI 1053511378).
Provider details
- NPI number
- 1053511378
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 295673 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,816 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 1,247 | $107 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 469 | $156 |
| Administration of Influenza Virus VaccineG0008 | 100 | $29 |
Typical Medicare-allowed amounts for these services range $29–$156 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 128 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 720 | 82 |
| Levothyroxine Sodium | 697 | 72 |
| Alendronate Sodium | 680 | 73 |
| Losartan Potassium | 417 | 50 |
| Pantoprazole Sodium | 379 | 42 |
| Fenofibrate | 334 | 30 |
| Metformin Hcl | 301 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$281 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-24
- Last updated
- 2023-03-07
Frequently asked questions
- What is Karlene Bert's NPI number?
- Karlene Bert's National Provider Identifier (NPI) is 1053511378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karlene Bert's specialty?
- Karlene Bert is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karlene Bert located?
- Karlene Bert's practice location on file with NPPES is 1878 E Hatch Rd, Modesto, CA 95351-5002.
- What is Karlene Bert's phone number?
- The practice phone number listed in the NPPES registry for Karlene Bert is (209) 602-8415.
- Does Karlene Bert accept Medicare?
- Karlene Bert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karlene Bert's NPI active?
- Yes — Karlene Bert's NPI (1053511378) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.