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KIMBERLY JOHNS BERTUCCI DNP
NPI 1417466871
Nurse Practitioner - Adult Health in Tacoma, WA

Active since September 28, 2017PECOS Enrolled
1802 YAKIMA AVE STE 302, TACOMA, WA 98405(253) 627-1244(253) 627-6576 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Mar 6, 2019, Sep 27, 2018 (3 updates tracked since 2018).

About Kimberly Johns Bertucci Dnp NPPES

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

KIMBERLY JOHNS BERTUCCI DNP (NPI 1417466871) is an individual adult health provider in Tacoma, Washington, licensed in Washington (AP61550203) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417466871
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY JOHNS BERTUCCICredential: DNP
Location Address1802 YAKIMA AVE STE 302Tacoma, WA 98405-5305
Mailing Address1802 Yakima Ave Ste 302Tacoma, WA 98405-5305 · (253) 627-1244 · Fax (253) 627-6576
Phone(253) 627-1244
Fax(253) 627-6576
Sole ProprietorNo
Enumeration DateSeptember 28, 2017
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1417466871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WA · AP61550203
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP09547 (LA), AP61550203 (WA)
1802 YAKIMA AVE STE 302, Tacoma, WA 98405
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly L Johns

Other Identifiers 2

Medicaid2458370LA
Medicaid2289912WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Johns Bertucci Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 18

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

LILIYA ARTYM
Nurse Practitioner (Family)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244
MICHELLE NICOLE COOK NP
Nurse Practitioner (Family)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244
SUSANNE NOEL HENDERSON ARNP
Nurse Practitioner (Gerontology)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244
MARISA MARIE LEBLANC ARNP, AGPCNP-BC
Nurse Practitioner (Adult Health)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244
THERESA SWARTZ RN, MSN, CCRN
Nurse Practitioner (Adult Health)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244
DR. MYUNG HEE PARK M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244
RONALD REITER
Internal Medicine (Interventional Cardiology)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244
MRS. SABRINA S RAJ DNP
Nurse Practitioner (Family)
1802 YAKIMA AVE STE 302
TACOMA, WA 98405
Pierce County (253) 627-1244

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 Kimberly Bertucci's NPI number?

The NPI number for Kimberly Bertucci is 1417466871. It was assigned to this individual provider in the NPPES registry on September 28, 2017. The provider is also known as Kimberly L Johns.

Where is Kimberly Bertucci located?

Kimberly Bertucci practices at 1802 Yakima Ave Ste 302, Tacoma, WA 98405. The listed phone number is (253) 627-1244.

What is Kimberly Bertucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Bertucci enrolled in Medicare?

Yes. Kimberly Bertucci is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Bertucci accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kimberly Bertucci 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 Kimberly Bertucci was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.