Active NPI
Bernadette Joy Medina, APRN, FNP-C
- Family Nurse Practitioner
- Hamilton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0029959
- Practice address
- 1010 Cereal Ave Ste 207
Hamilton, OH 45013-2772 - Phone
- (513) 867-3331
- NPI assigned
- Nov 30, 2021
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN.CNP.0029959 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0029959 | OH | Primary |
Addresses
Primary practice location
1010 Cereal Ave Ste 207
Hamilton, OH 45013-2772
Mailing address
7632 Vinnedge Rd
Fairfield Township, OH 45011-8613
Phone (513) 571-9719
Other practice location 1
210 S 2nd St
Hamilton, OH 45011-2811
Phone (513) 454-1111
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bmedina566134@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
3737 Southern Blvd
Kettering, OH 45429-1285
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Homecare
- Kettering Health Dayton
- Kettering Health Main Campus
- Fort Hamilton Hughes Memorial Hospital
- Kettering Health Miamisburg
- Soin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients |
Locations
1380 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 863-2800
1010 Cereal Ave
Ste 207
Hamilton, OH 45013
Phone (513) 867-3331
2449 Ross Millville Rd
Ste B50
Hamilton, OH 45013
Phone (513) 737-6068
3737 Southern Blvd
Ste 2000
Kettering, OH 45429
Phone (937) 228-4126
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
6147 State Route 122
Ste 210
Middletown, OH 45005
6147 State Route 122
Ste 200
Middletown, OH 45005
Phone (513) 261-3500
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Hamilton, OH
- NPI 1104867167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1376201020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7632 VINNEDGE RD",
"city": "FAIRFIELD TOWNSHIP",
"state": "OH",
"postal_code": "450118613",
"telephone_number": "513-571-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CEREAL AVE STE 207",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132772",
"telephone_number": "513-867-3331"
}
],
"practiceLocations": [
{
"address_1": "210 S 2nd St",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450112811",
"country_code": "US",
"telephone_number": "513-454-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "BERNADETTE",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "APRN.CNP.0029959",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0029959",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bmedina566134@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1010 Cereal Ave Ste 207",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132772",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1010 Cereal Ave Ste 207",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.