Organization Active NPI

Kristen Bernockie NP in Family Health PLLC

  • Family Medicine Physician
  • Germantown, NY
National Provider Identifier
1043908429
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KRISTEN BERNOCKIE NP IN FAMILY HEALTH PLLC
Practice address
71 Palatine Park Rd Ste 4
Germantown, NY 12526-5341
Phone
(518) 537-4325
Fax
(518) 246-4946
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Bernockie, NPNPI 1891368080
Title
Owner
Phone
(518) 653-9699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

71 Palatine Park Rd Ste 4
Germantown, NY 12526-5341

Mailing address

71 Palatine Park Rd Ste 4
Germantown, NY 12526-5341
Phone (518) 537-4325

Other identifiers 1

IdentifierTypeStateIssuer
07742996MedicaidNY

Other names 1

  • Eutierria Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415002112 NY Part B Supplier - Clinic/Group Practice 2466891197 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, NY

National Provider Directory

National Provider Directory

Locations

71 Palatine Park Rd
Ste 4
Germantown, NY 12526
Phone (518) 537-4325

35 Industrial Tract Anx
Hudson, NY 12534
Phone (518) 291-8844

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1043908429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PALATINE PARK RD STE 4",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265341",
            "telephone_number": "518-537-4325",
            "fax_number": "518-246-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PALATINE PARK RD STE 4",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265341",
            "telephone_number": "518-537-4325",
            "fax_number": "518-246-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN BERNOCKIE NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "BERNOCKIE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-653-9699",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07742996",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eutierria Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.