Active NPI
Elizabeth Elaine Bernat, FNP-C
- Family Nurse Practitioner
- Bethalto, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209019231
- 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.
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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
Pai Participant 1 LLC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211116002093 | MO | Practitioner - Nurse Practitioner | 1456789494 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209019231 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Current |
Accepting new patients | |
| Generation Clinical Partners LLC | Current |
Accepting new patients | |
| Generation Clinical Partners Aco, LLC | Current |
Accepting new patients | |
| Generation Clinical Partners LLC | Current |
Accepting new patients | |
| Pai Participant 1 LLC | Current |
Accepting new patients | |
| Generation Clinical Partners Aco, LLC | Current |
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
- elizabeth.bernat.1@9850.direct.athenahealth.com
- https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209019231 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.