Individual provider Active NPI

Bernadine Bagniszewski, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1164488359
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008848 Issued in PA
Practice address
4401 Iroquois Ave
Erie, PA 16511-2219
Phone
(814) 464-0509
Fax
(814) 456-2375
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP008848 PA Primary

Addresses

Primary practice location

4401 Iroquois Ave
Erie, PA 16511-2219

Mailing address

1202 State St
Erie, PA 16501-1914
Phone (814) 454-4530

Other practice location 1

1700 Peach St
Suite 200
Erie, PA 16501-2134
Phone (814) 877-8140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bernadine.bagniszewski@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000068 PA Practitioner - Nurse Practitioner 7416035001 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008848PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Net CurrentSince Feb 25, 2017 Accepting new patients
Community Health Net CurrentSince Feb 25, 2017 Accepting new patients
Regional Health Services Inc CurrentSince Jan 1, 2012 Accepting new patients
Epn Hamot Urgent Care LLC CurrentSince Mar 1, 2013 Accepting new patients
Community Health Net Past Accepting new patients
Community Health Net Past Accepting new patients
Community Health Net Past Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

1700 Peach St
Ste 200
Erie, PA 16501
Phone (814) 452-3585

1202 State St
Erie, PA 16501
Phone (814) 454-4530

7200 Peach St
Unit 16
Erie, PA 16509
Phone (814) 860-3301

4401 Iroquois Ave
Erie, PA 16511
Phone (814) 455-7222

1135 Lake St
Ste 2
Girard, PA 16417
Phone (814) 454-4530

5712 Iroquois Ave
Harborcreek, PA 16421
Phone (814) 464-0509

Interoperability endpoints

  • Direct secure messaging: bernadine.bagniszewski.p1@direct.communityhealthnet.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1164488359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-454-4530",
            "fax_number": "814-456-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 IROQUOIS AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165112219",
            "telephone_number": "814-464-0509",
            "fax_number": "814-456-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Peach St",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165012134",
            "country_code": "US",
            "telephone_number": "814-877-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGNISZEWSKI",
        "first_name": "BERNADINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernadine.bagniszewski@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.