1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Nurse Practitioner
  6. NPI Profile

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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Bertucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Franciscan Medical Group
0.5 mi
Anesthesiology
1313 BROADWAY, SUITE 200
Tacoma, WA 98402
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
NPI 1831358282 (253) 426-6306
Vpa PC
1,982 mi
Family Medicine
111 E CAPITOL ST STE 500
Jackson, MS 39201
  • Reassigned Medicare billing, Mississippi enrollment
  • 39 clinicians in this Medicare group
NPI 1982224895 (248) 434-6169

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 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.

Which organizations bill Medicare for Kimberly Bertucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bertucci reassigns Medicare benefits to 2 organizations: Franciscan Medical Group (Tacoma, WA) and Vpa PC (Jackson, MS). Each 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 Kimberly Bertucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.