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NPI Code Detail

MEDICARE: MEGAN MARIE BERTELS PMHNP-C

MEDICARE:   MEGAN MARIE BERTELS  PMHNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2026004984MO

General Provider Information

NPI Number : 1467302653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MARIE BERTELS PMHNP-C
Provider Business Mailing Address
First Line : 340 KELLEY PKWY
Second Line :
City : MEXICO
State : MO
Zip : 65265-3811
Country : US
Telephone Number : 573-582-1234
Fax Number : 573-582-1212
Provider Business Practice Location Address
First Line : 340 KELLEY PKWY
Second Line :
City : MEXICO
State : MO
Zip : 65265-3811
Country : US
Telephone Number : 573-582-1234
Fax Number : 573-582-1212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 02/04/2026

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Directions to “ MEGAN MARIE BERTELS PMHNP-C” Practice Location

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