Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. BLESILDA A MAMERTO MD
NPI 1801878756
Family Medicine in Medical Lake, WA

Active since November 16, 2005PECOS Enrolled
800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022(509) 299-3121(509) 299-7015 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Blesilda A Mamerto Md NPPES

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

DR. BLESILDA A MAMERTO MD (NPI 1801878756) is an individual family medicine provider in Medical Lake, Washington, licensed in Washington (MD00022291) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801878756
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BLESILDA A MAMERTOCredential: MD
Location Address800 WEST MAPLE STREETMedical Lake, WA 99022-0800
Mailing AddressPo Box 800, 800 West Maple StreetMedical Lake, WA 99022-0800 · (509) 299-3121 · Fax (509) 299-7015
Fax(509) 299-7015
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1801878756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00022291
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 WEST MAPLE STREET, Medical Lake, WA 99022

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Blesilda A Mamerto Md 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 99022 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 20

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

Psychologist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Nurse Practitioner (Psychiatric/Mental Health)
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Psychologist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Occupational Therapist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Occupational Therapist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Family Medicine
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Physical Therapist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Pharmacist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801878756, enumerated as an "individual" on November 16, 2005.

The provider is located at 800 WEST MAPLE STREET MEDICAL LAKE, WA 99022 and the phone number is (509) 299-3121.

Family Medicine with taxonomy code 207Q00000X.