Individual provider Active NPI

Bernadette I Chukwuezi, PMHNP

  • Registered Nurse
  • Attleboro, MA
National Provider Identifier
1285167882
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2313745 Issued in MA
Practice address
51 Saveena Dr
Attleboro, MA 02703-6063
Phone
(781) 760-1985
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2313745 MA
Registered Nurse 163W00000X RN2313745 MA Primary

Addresses

Primary practice location

51 Saveena Dr
Attleboro, MA 02703-6063

Mailing address

51 Saveena Dr
Attleboro, MA 02703-6063
Phone (781) 760-1985

Other practice location 1

191 Social St Ste 180
Woonsocket, RI 02895-3213
Phone (401) 356-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240715003425 MA Practitioner - Nurse Practitioner 7810432739 Reassigns benefits to 1 organization
I20240824000090 RI Practitioner - Nurse Practitioner 7810432739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians
Lincoln Psychiatric Services, Inc.Group PAC ID 8224068994, 5 clinicians

Practice addresses (Care Compare)

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

652 George Washington Hwy
Unit 400
Lincoln, RI 02865-4267
Phone (401) 334-1830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Psychiatric Services, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince Aug 1, 2024 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Jul 1, 2024 Accepting new patients
Plaza Psychology & Psychiatry, Inc. Psychiatric/Mental Health PastSince Jun 27, 2024 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

652 George Washington Hwy
Unit 400
Lincoln, RI 02865
Phone (401) 334-1830

Organizations & group practices 4

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1285167882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAVEENA DR",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027036063",
            "telephone_number": "781-760-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SAVEENA DR",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027036063",
            "telephone_number": "781-760-1985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Social St Ste 180",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953213",
            "country_code": "US",
            "telephone_number": "401-356-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUEZI",
        "first_name": "BERNADETTE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2313745",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2313745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.