Bernadette N. Nelson, FNP-BC, PMHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333417 Issued in NY

Practice address

1400 Pelham Parkway South
Jacobi Medical Center
Bronx, NY 10461

Phone

(718) 918-5000

NPI assigned

Feb 22, 2006

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1962451195
  NPD (past)
• KHH Emergency Medicine

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1740330455
  NPD (past)
• Belle Glade Emergency Physicians LLC

  • Emergency Medicine Physician
  • Belle Glade, FL
  • NPI 1083631774
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1336114453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364201",
            "telephone_number": "561-628-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PARKWAY SOUTH",
            "address_2": "JACOBI MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BERNADETTE",
        "middle_name": "N.",
        "credential": "FNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9209602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306640100",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "Y064G",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "Y064X",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "Y064Y",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Nelson-Hamilton
• Shernell Nelson-McKenzie
• Alexander Gregory Nelson, DO
• Alicia Elizabeth Nelson, REGISTERED NURSE
• Ann Nelson, LPN
• Brendan G Nelson, LMSW
• Christina Nelson, MD
• Denise Nelson
• Dorisah I Nelson, FNP-BC
• Eric Nelson, MD

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.