LISA HEIDER BERTRAM RD
NPI 1013751197
Dietitian, Registered in Cottonwood Heights, UT

Q: What is Lisa Bertram's NPI number?

The NPI number for Lisa Bertram is 1013751197. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Q: What is Lisa Bertram's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bertram was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2024Accepts Medicare Assignment

2744 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121(734) 330-1101 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Jun 24, 2024 (2 updates tracked since 2024).

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About Lisa Heider Bertram Rd NPPES

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

LISA HEIDER BERTRAM RD (NPI 1013751197) is an individual dietitian, registered in Cottonwood Heights, Utah and active in the NPI registry since June 2024. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1013751197

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLISA HEIDER BERTRAMCredential: RD

Location Address2744 E FORT UNION BLVDCottonwood Heights, UT 84121-3447

Mailing Address2744 E Fort Union BlvdCottonwood Heights, UT 84121-3447 · (734) 330-1101

Phone(734) 330-1101

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 24, 2024

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1013751197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2744 E FORT UNION BLVD, Cottonwood Heights, UT 84121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Heider Bertram Rd 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 ID5890226542

PECOS Enrollment IDI20241004001432

Medicare Billing Reassignment

Medicare enrollment records show Lisa Bertram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sensibly Sprouted LLC

768 mi

Dietitian, Registered

12 BELLWETHER WAY STE 223
Bellingham, WA 98225

Reassigned Medicare billing, Washington enrollment
13 clinicians in this Medicare group

NPI 1700368420 (360) 230-8202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Bertram's NPI number?

The NPI number for Lisa Bertram is 1013751197. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Lisa Bertram located?

Lisa Bertram practices at 2744 E Fort Union Blvd, Cottonwood Heights, UT 84121. The listed phone number is (734) 330-1101.

What is Lisa Bertram's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lisa Bertram enrolled in Medicare?

Yes. Lisa Bertram 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.

Which organization bills Medicare for Lisa Bertram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bertram reassigns Medicare benefits to Sensibly Sprouted LLC (Bellingham, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Bertram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Bertram accept?

Health plans from Providence Health Plan list Lisa Bertram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Bertram was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.