Individual provider Active NPI

Kathryn Carson Bernhardt, PA-C

  • Physician Assistant
  • Palm Harbor, FL
National Provider Identifier
1295233799
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110983 Issued in FL
Practice address
34941 US 19 N
Palm Harbor, FL 34684-1919
Phone
(727) 585-8591
Fax
(727) 771-7694
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110983 FL Primary

Addresses

Primary practice location

34941 US 19 N
Palm Harbor, FL 34684-1919

Mailing address

2805 Clairboro Rd
Jacksonville, FL 32223-6637

Other practice location 1

8220 US Highway 19
Port Richey, FL 34668-6639
Phone (727) 585-8591

Other practice location 2

1009 Dale Mabry Hwy
Lutz, FL 33548-3021
Phone (727) 585-8591

Other practice location 3

115 Highland Ave N
Largo, FL 33770-2530
Phone (727) 585-8591

Other names 1

  • Katie Bernhardt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220815002205 FL Practitioner - Physician Assistant 7214310820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

2525 S Pasadena Ave
St Petersburg, FL 33707-4566
Phone (727) 585-8591

34941 US Hwy 19 N
Palm Harbor, FL 34684-1919
Phone (727) 781-7080

7500 Gulf Blvd
Suite B
St Pete Beach, FL 33706-1813
Phone (727) 363-6688

8220 US 19
Port Richey, FL 34668-6639
Phone (727) 841-8505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1295233799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CLAIRBORO RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34941 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841919",
            "telephone_number": "727-585-8591",
            "fax_number": "727-771-7694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8220 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Port Richey",
            "state": "FL",
            "postal_code": "346686639",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335483021",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Highland Ave N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702530",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNHARDT",
        "first_name": "KATHRYN",
        "middle_name": "CARSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BERNHARDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.