Bernadette Marie Modelo, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

19425 Issued in AK

Practice address

1296 Agvik St.
Sammuel Simmonds Memorial Hospital
Barrow, AK 99723-0029

Phone

(907) 852-9219

NPI assigned

Apr 17, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225254360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "address_2": "UNIT 36",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "997230029",
            "telephone_number": "907-852-3014",
            "fax_number": "907-852-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 AGVIK ST.",
            "address_2": "SAMMUEL SIMMONDS MEMORIAL HOSPITAL",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "997230029",
            "telephone_number": "907-852-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODELO",
        "first_name": "BERNADETTE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AK",
            "license": "19425",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "AK",
            "license": "19425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine Registered Nurse in Barrow, AK
• Providers in Barrow, AK by specialty
• Critical Care Medicine Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.