Active NPI
Jessica Bernabe-Bentivoglio, CNM
- Advanced Practice Midwife
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM2740
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172936 | VA | MD | Nurse Practitioner |
| CNM2740 | VA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Womens Care PLC | Current | 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 | Past | 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
- 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.
-
dba Suffolk Health Department
- State or Local Public Health Clinic/Center
- Suffolk, VA
- NPI 1487629374
-
dba Nelson County Health Department
- Public Health or Welfare Agency
- Arrington, VA
- NPI 1679580922
-
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1114965043
-
dba TotalCare for Women
- Obstetrics & Gynecology Physician
- Chesapeake, VA
- NPI 1568593952
-
dba Complete Womens Care
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1851339246
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
- James Tyler Bennett, LPTA
- Tamikka Benson
- Jeffrey Todd Benton, M.ED., ED.S.
- Erich W Berberich, DPM
- Thomas G. Bergfield, M.D.
- Jessica Lynne Bernens, M.D.
- Christopher John Bertani, MSPT,OCS,CSCS
- Best Choice Home Healthcare
- Best of Care Homehealth LLC
- Better Care Family Homes (Better Care Day Support Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.