Individual provider Active NPI

Elizabeth Elaine Bernat, FNP-C

  • Family Nurse Practitioner
  • Bethalto, IL
National Provider Identifier
1356973366
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019231 Issued in IL
Practice address
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone
(618) 433-6640
Fax
(618) 433-6645
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generation Clinical Partners LLC (24 clinicians)
Pai Participant 1 LLC (174 clinicians)

Practice addresses (Care Compare)

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309
Phone (314) 925-0903

505 Couch Ave
Kirkwood, MO 63122-5577
Phone (314) 822-9911

5300 Executive Centre Pkwy
Saint Peters, MO 63376-3182
Phone (636) 477-6955

600 Breeze Park Dr
Weldon Spring, MO 63304-9139
Phone (314) 925-0903

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211116002093 MO Practitioner - Nurse Practitioner 1456789494 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
209019231ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Current
since Nov 1, 2023
Accepting new patients
Generation Clinical Partners LLC Current
since Jan 1, 2022
Accepting new patients
Generation Clinical Partners Aco, LLC Current
since Sep 1, 2025
Accepting new patients
Generation Clinical Partners LLC Current
since Jan 1, 2022
Accepting new patients
Pai Participant 1 LLC Current
since Nov 14, 2022
Accepting new patients
Generation Clinical Partners Aco, LLC Current
since Sep 1, 2025
Accepting new patients

Locations

1 Meramec Bluffs Dr
Ballwin, MO 63021
Phone (636) 861-0600

2201 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 736-8800

515 Picnic St
New Florence, MO 63363
Phone (573) 415-9333

10426 Baur Blvd
Saint Louis, MO 63132
Phone (314) 632-6265

505 Couch Ave
Saint Louis, MO 63122
Phone (314) 822-9911

11500 Olive Blvd
Ste 235
Saint Louis, MO 63141

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

Interoperability endpoints

  • Direct secure messaging: elizabeth.bernat.1@9850.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019231 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

163 E Bethalto Dr
Bethalto, IL 62010-1801

Mailing address

163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6640

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2021.

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1356973366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 E BETHALTO DR",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101801",
            "telephone_number": "618-433-6640",
            "fax_number": "618-433-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E BETHALTO DR",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101801",
            "telephone_number": "618-433-6640",
            "fax_number": "618-433-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAT",
        "first_name": "ELIZABETH",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "163 E Bethalto Dr",
            "city": "Bethalto",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620101801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethalto, IL

Sources for this page

Verify at the official NPI Registry.