Individual provider Active NPI

Bernadine Carline Anderson- Clarke, ARNP

  • Psychiatric/Mental Health Registered Nurse
  • Wellington, FL
National Provider Identifier
1356418875
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
9205733 Issued in FL
Practice address
8987 Biddle CT
Wellington, FL 33414-6436
Phone
(561) 254-7933
NPI assigned
Nov 29, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346597 NY
Family Nurse Practitioner 363LF0000X 9205733 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X 9205733 FL Primary

Addresses

Primary practice location

8987 Biddle CT
Wellington, FL 33414-6436

Mailing address

8987 Biddle CT
Wellington, FL 33414-6436
Phone (561) 254-7933

Other identifiers 1

IdentifierTypeStateIssuer
46-2835472MedicaidFL

Other names 1

  • Mrs. Bernadine Carline Anderson- Clarke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20161026001865 FL Practitioner - Nurse Practitioner 2264506617 Reassigns benefits to 1 organization
I20230901001179 NY Practitioner - Nurse Practitioner 2264506617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Jun 12, 2024 Accepting new patients
Ultimate Care Medical Center Current Accepting new patients
Beyond the Mind Psychiatric Care Services LLC Psychiatric/Mental Health CurrentSince Jun 18, 2023 Accepting new patients
Maximum Care Walk-in Clinic PastSince Apr 25, 2014 Accepting new patients
Take Care Health Services PA Family Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1356418875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 BIDDLE CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146436",
            "telephone_number": "561-254-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8987 BIDDLE CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146436",
            "telephone_number": "561-254-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON- CLARKE",
        "first_name": "BERNADINE",
        "middle_name": "CARLINE",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346597",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9205733",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9205733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-2835472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADINE",
            "last_name": "ANDERSON- CLARKE",
            "middle_name": "CARLINE",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.