JENNIFER THERESA BERETA PMHNP
NPI 1417740267
Nurse Practitioner - Psychiatric/Mental Health in Everett, WA
About Jennifer Theresa Bereta Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER THERESA BERETA PMHNP (NPI 1417740267) is an individual psychiatric/mental health provider in Everett, Washington, licensed in Washington (AP61687119) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Theresa Bereta Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Bereta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Vernon, WA 98273
- Reassigned Medicare billing, Washington enrollment
- 29 clinicians in this Medicare group
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 98208 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVERETT, WA 98208
EVERETT, WA 98208
EVERETT, WA 98208
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 Jennifer Bereta's NPI number?
The NPI number for Jennifer Bereta is 1417740267. It was assigned to this individual provider in the NPPES registry on May 26, 2025.
Where is Jennifer Bereta located?
Jennifer Bereta practices at 10333 19th Ave SE Ste 109, Everett, WA 98208. The listed phone number is (425) 742-4600.
What is Jennifer Bereta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jennifer Bereta enrolled in Medicare?
Yes. Jennifer Bereta is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Bereta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bereta reassigns Medicare benefits to Shifa Health PLLC (Mount Vernon, 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 Jennifer Bereta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Bereta accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Jennifer Bereta 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 Jennifer Bereta was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Jennifer Theresa Bereta, PMHNP · NPI 1417740267
Psychiatric/Mental Health physician in Everett, Washington. Individual provider, active in the CMS NPPES registry since May 26, 2025.
## Identity
- **NPI:** 1417740267 (Entity type: Individual)
- **Enumerated:** May 26, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61687119 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10333 19TH AVE SE STE 109, Everett, WA 98208-4267
- **Phone:** (425) 742-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shifa Health PLLC (NPI 1356415327, Mount Vernon, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417740267) · Data from the CMS NPPES public registry.