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KAREN L BERTASSO PA
NPI 1003110412
Physician Assistant - Surgical in Albany, NY

Active since December 28, 2010PECOS EnrolledAccepts Medicare Assignment
121 EVERETT RD, ALBANY, NY 12205(518) 489-2663 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, May 7, 2021 (2 updates tracked since 2021).

About Karen L Bertasso Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN L BERTASSO PA (NPI 1003110412) is an individual surgical provider in Albany, New York, licensed in New York (014616) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains a secondary practice location in Fort Collins.

NPPES Registry Identity

NPI1003110412
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKAREN L BERTASSOCredential: PA
Location Address121 EVERETT RDAlbany, NY 12205-1474
Mailing Address121 Everett RdAlbany, NY 12205-1474 · (518) 489-2663
Phone(518) 489-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 28, 2010
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1003110412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 014616
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0003582 (CO)
121 EVERETT RD, Albany, NY 12205
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Secondary Practice Location 1

Location 11107 S LeMay Ave, Ste 240Fort Collins, CO 80524-3960 · Phone (970) 495-7421 · Fax (970) 495-7424

Other Identifiers 1

Medicaid64429270CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen L Bertasso Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406030600
PECOS Enrollment IDI20110413000337
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIA GYORKE NP
Nurse Practitioner (Adult Health)
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 453-9088
PAVEL VORONKO MS,PA-C
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 453-9088
PETER CONBOY PT
Physical Therapist
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 489-2663
DR. CHRISTOPHER DE CAMP M.D.
Orthopaedic Surgery
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 453-9088
JUSTINA MARIE MUELLER PA
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 453-9088
GREGORY DAVID LEDER PA
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 489-2663
GIANNA GABRIELLE PEZZANO PT
Physical Therapist
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 489-2663
DR. LEONARD E GOLDSTOCK M.D.
Orthopaedic Surgery
121 EVERETT RD
ALBANY, NY 12205
Albany County (518) 453-9088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Bertasso's NPI number?

The NPI number for Karen Bertasso is 1003110412. It was assigned to this individual provider in the NPPES registry on December 28, 2010.

Where is Karen Bertasso located?

Karen Bertasso practices at 121 Everett Rd, Albany, NY 12205. The listed phone number is (518) 489-2663.

What is Karen Bertasso's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Karen Bertasso enrolled in Medicare?

Yes. Karen Bertasso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Karen Bertasso affiliated with any hospitals?

According to CMS data, Karen Bertasso is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Karen Bertasso was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.