MRS. AMANDA MARIE BERTRAM DNP - NPI 1902654551 - Nurse Practitioner in Yuma, AZ

Q: What is Amanda Bertram's NPI number?

The NPI number for Amanda Bertram is 1902654551. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Q: What is Amanda Bertram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bertram was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Amanda Marie Bertram Dnp NPPES

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

MRS. AMANDA MARIE BERTRAM DNP (NPI 1902654551) is an individual family provider in Yuma, Arizona, licensed in Arizona (324556) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Junction, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902654551

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. AMANDA MARIE BERTRAMCredential: DNP

Location Address11142 S SCOTTSDALE DRYuma, AZ 85367-5616

Mailing Address2400 S Avenue AYuma, AZ 85364-7127 · (928) 344-2000

Phone(928) 336-1815

Fax(928) 342-3850

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 8, 2024

Last NPPES UpdateJune 3, 20253 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1902654551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · 324556✔ Licensed in ID · 67026✔ Licensed in CO · C-APN.0102462-C-NP

11142 S SCOTTSDALE DR, Yuma, AZ 85367

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Secondary Practice Location 1

Location 12121 North AveGrand Junction, CO 81501-6428 · Phone (970) 242-0731

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Mrs. Amanda Marie Bertram Dnp 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.

PECOS PAC ID6901312479

PECOS Enrollment IDI20250722001236

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 85367 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 5

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

MIKA NARANJO RN, NP

Nurse Practitioner (Family)