JULIA CONSTANCE BERTOZZI (PA-C) – Surgical Physician Assistant, NPI 1043560972

JULIA CONSTANCE BERTOZZI (PA-C) is a healthcare provider. based in Beverly, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for JULIA CONSTANCE BERTOZZI (PA-C) is 1043560972

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JULIA CONSTANCE BERTOZZI (PA-C)
NPI
1043560972
Phone
(978) 778-3850
Address
100 CUMMINGS CTR STE 112D
Enumeration Date
18 September 2012
Last Update Date
28 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789229226
Graduation Year
2012 (14 years ago)
PAC ID
3375766264
Group Practice PAC ID
1850388083
Professional Enrollment ID
I20240102000370
Address ID
MA019156105BE100XXCTRX376

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:13State licenses:0Other namesUpdated within 12 months

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for JULIA CONSTANCE BERTOZZI (PA-C)

  • 100 CUMMINGS CTR STE 112D

    BEVERLY, MA 019156105

    Phone: (978) 778-3850

    Type: Mailing

  • 2350 W EL CAMINO REAL

    2ND FLOOR

    MOUNTAIN VIEW, CA 940406201

    Phone: (650) 853-2916

    Type: Mailing

  • 795 EL CAMINO REAL

    PALO ALTO, CA 943012302

    Phone: (650) 853-2916

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140521002489IPhysician AssistantCATBD
I20240102000370IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850388083View full group profile
NameSpecialtyState
General SurgeryMA
General SurgeryNY
Nurse PractitionerMA
Physician AssistantMA
Colorectal Surgery (Proctology), General SurgeryMA
General SurgeryMA
-RI

Reviews

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Frequently asked questions

What NPI should I save for JULIA CONSTANCE BERTOZZI (PA-C)?
Save NPI 1043560972 if you need a stable reference for JULIA CONSTANCE BERTOZZI (PA-C).
Does this profile mean JULIA CONSTANCE BERTOZZI (PA-C) is currently active?
Yes — JULIA CONSTANCE BERTOZZI (PA-C) appears active in the national provider directory.
Can you summarize JULIA CONSTANCE BERTOZZI (PA-C)'s specialty in plain language?
Clinically, the directory lists JULIA CONSTANCE BERTOZZI (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JULIA CONSTANCE BERTOZZI (PA-C)'s primary listing?
We display Beverly, Massachusetts because that is what the record indicates for JULIA CONSTANCE BERTOZZI (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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