NICOLE BERTRAM PA
NPI 1073299236
Physician Assistant in Jbsa Lackland, TX
About Nicole Bertram Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE BERTRAM PA (NPI 1073299236) is an individual physician assistant in Jbsa Lackland, Texas, licensed in Texas (PA17014) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of San Juan Bautista School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Nicole Bertram 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
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 Nicole Bertram's NPI number?
The NPI number for Nicole Bertram is 1073299236. It was assigned to this individual provider in the NPPES registry on June 23, 2023.
Where is Nicole Bertram located?
Nicole Bertram practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-5000.
What is Nicole Bertram's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicole Bertram enrolled in Medicare?
Yes. Nicole 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.
What insurance does Nicole Bertram accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Nicole 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 Nicole Bertram was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicole Bertram, PA · NPI 1073299236
Physician Assistant physician in Jbsa Lackland, Texas. Individual provider, active in the CMS NPPES registry since June 23, 2023.
## Identity
- **NPI:** 1073299236 (Entity type: Individual)
- **Enumerated:** June 23, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA17014 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236-5638
- **Phone:** (210) 292-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** San Juan Bautista School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073299236) · Data from the CMS NPPES public registry.