Individual provider Active NPI

Jessica Bernabe-Bentivoglio, CNM

  • Advanced Practice Midwife
  • Suffolk, VA
National Provider Identifier
1346613320
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM2740 Issued in VA
Practice address
135 Hall Ave
Suite a
Suffolk, VA 23434-4657
Phone
(757) 514-4700
Fax
(757) 514-4873
NPI assigned
Nov 12, 2015
Last updated
Jul 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024172936 VA
Advanced Practice Midwife 367A00000X CNM2740 VA Primary

Addresses

Primary practice location

135 Hall Ave
Suite a
Suffolk, VA 23434-4657

Mailing address

135 Hall Ave
Suite a
Suffolk, VA 23434-4657
Phone (757) 514-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170724003157 VA Practitioner - Certified Nurse Midwife (CNM) 5496043499 Reassigns benefits to 1 organization
I20260214000011 NC Practitioner - Certified Nurse Midwife (CNM) 5496043499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

1141 N Rd St
Suite 1
Elizabeth City, NC 27909-3326
Phone (252) 338-0101

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024172936VAMDNurse Practitioner
CNM2740VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Apr 18, 2022 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Commonwealth of Virginia State Board of Health Past Accepting new patients
Mid-Atlantic Womens Care PLC PastSince Apr 18, 2022 Accepting new patients
Commonwealth of Virginia State Board of Health Past Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

1141 N Road St
Ste 1
Elizabeth City, NC 27909
Phone (252) 338-0101

109 Currituck Commerical Dr
Ste B
Moyock, NC 27958
Phone (252) 232-1210

667 Kingsborough Sq
Ste 200
Chesapeake, VA 23320
Phone (757) 436-0167

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

700 Independence Blvd
Ste 1D
Virginia Beach, VA 23455
Phone (757) 497-1400

Interoperability endpoints

  • Direct secure messaging: jessica.bernabe-bentivoglio.1@22824.direct.athenahealth.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1346613320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HALL AVE",
            "address_2": "SUITE A",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344657",
            "telephone_number": "757-514-4700",
            "fax_number": "757-514-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HALL AVE",
            "address_2": "SUITE A",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344657",
            "telephone_number": "757-514-4700",
            "fax_number": "757-514-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABE-BENTIVOGLIO",
        "first_name": "JESSICA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172936",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "CNM2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.