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ASHLEY NICOLE BERTRAM PA-C
NPI 1053714642
Physician Assistant - Medical in Du Bois, PA

Active since September 26, 2014PECOS Enrolled
123 HOSPITAL AVENUE, DU BOIS, PA 15801(814) 371-1510(814) 371-2922 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Nicole Bertram Pa-c NPPES

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

ASHLEY NICOLE BERTRAM PA-C (NPI 1053714642) is an individual medical provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MA057218) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053714642
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameASHLEY NICOLE BERTRAMCredential: PA-C
Location Address123 HOSPITAL AVENUEDu Bois, PA 15801-1409
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 371-2200
Phone(814) 371-1510
Fax(814) 371-2922
Sole ProprietorNo
Enumeration DateSeptember 26, 2014
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1053714642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA057218
123 HOSPITAL AVENUE, Du Bois, PA 15801
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Nicole Bertram Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

EMILY RAE BISH PA-C
Physician Assistant (Medical)
123 HOSPITAL AVENUE
DU BOIS, PA 15801
Clearfield County (814) 371-1510
NICOLE MARIE GRUNTHANER PA-C
Physician Assistant
123 HOSPITAL AVENUE
DU BOIS, PA 15801
Clearfield County (814) 371-1510

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 Ashley Bertram's NPI number?

The NPI number for Ashley Bertram is 1053714642. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Ashley Bertram located?

Ashley Bertram practices at 123 Hospital Avenue, Du Bois, PA 15801. The listed phone number is (814) 371-1510.

What is Ashley Bertram's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ashley Bertram enrolled in Medicare?

Yes. Ashley Bertram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Bertram was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.