Active NPI
Bernadette Bartolome, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1073375986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0674
- Practice address
- 4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039 - Phone
- (725) 225-5575
- NPI assigned
- Jan 25, 2024
- Last updated
- Jun 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0674 | NV | Primary |
Addresses
Primary practice location
4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039
Mailing address
4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039
Phone (725) 225-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4425 S Pecos Rd
Suite 3
Las Vegas, NV 89121-5039
Phone (725) 225-5575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0674 | NV | MD | Physician Assistant |
Interoperability endpoints
- bernadette.bartolome.1@24707.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Urology Physician
- Las Vegas, NV
- NPI 1619596806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1073375986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 S PECOS RD STE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215039",
"telephone_number": "725-225-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 S PECOS RD STE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215039",
"telephone_number": "725-225-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLOME",
"first_name": "BERNADETTE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA0674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.