DR. EMILY D BERTANI (MD) – Family Medicine Physician, NPI 1396945713

DR. EMILY D BERTANI (MD) is a healthcare provider. based in Puyallup, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD152933 (OR). The NPI Number for DR. EMILY D BERTANI (MD) is 1396945713

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY D BERTANI (MD)
NPI
1396945713
Phone
Not provided
Address
3705 S MERIDIAN STE B
Enumeration Date
24 July 2007
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2537655050
Graduation Year
2007 (19 years ago)
PAC ID
7214107085
Group Practice PAC ID
1355614421
Professional Enrollment ID
I20140306002218
Address ID
WA983733709PU3705XMERI301

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. EMILY D BERTANI (MD)

  • 3705 S MERIDIAN STE B

    PUYALLUP, WA 983733709

    Phone:

    Type: Mailing

  • Kaiser Permanente, 2500, South Havana Street, Aurora, Arapahoe County, Colorado, 80014, United States

    AURORA, CO 800141618

    Phone: (303) 338-4545

    Type: Mailing

  • 5555 E Arapahoe Rd

    Centennial, CO 801222312

    Phone: (303) 338-4545

    Type: Location

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • East Arapahoe Road, Centennial, Arapahoe County, Colorado, 80015, United States

    CENTENNIAL, CO 801222312

    Phone: (303) 338-4545

    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: 2014-03-06

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
I20110903000013IFamily PracticeORTBD
I20140306002218IFamily PracticeWATBD

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 98373)

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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: 1355614421View full group profile
NameSpecialtyState
-WA
-WA
Internal Medicine, HospitalistWA
Family PracticeWA
Family PracticeWA
-WA
Physician AssistantVA
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicinePA
Internal MedicineWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is DR. EMILY D BERTANI (MD)'s NPI number?
DR. EMILY D BERTANI (MD)'s NPI is 1396945713 — the number used across U.S. healthcare to identify this provider.
Is DR. EMILY D BERTANI (MD) shown as active in public data?
Registry records indicate DR. EMILY D BERTANI (MD) maintains an active NPI.
What expertise is attributed to DR. EMILY D BERTANI (MD)?
DR. EMILY D BERTANI (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. EMILY D BERTANI (MD)?
Directory geography for DR. EMILY D BERTANI (MD) centers on Puyallup, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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