Active NPI
Bernavette Pamela Perry, A.R.N.P.
- Pediatric Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- A.R.N.P.2752172
- Practice address
- 836 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3070 - Phone
- (386) 873-7140
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | A.R.N.P.2752172 | FL | Primary |
Addresses
Primary practice location
836 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3070
Mailing address
343 Glen Club Dr
Debary, FL 32713-2348
Phone (386) 668-8138
Other practice location 1
565 Memorial Cir
Ormond Beach, FL 32174-5001
Phone (386) 310-8766
Other practice location 2
810 Commed Blvd Ste C
Orange City, FL 32763-8322
Phone (386) 775-1792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300996300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
343 Glen Club Dr
Debary, FL 32713-2348
Phone (386) 873-7140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.R.N.P.2752172 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ropha Healthcare | Current | Accepting new patients | |
| Community Medical Center of West Volusia PA | Past | Accepting new patients | |
| Advanced Practice Nursing Services, LLC | Past | Accepting new patients |
Locations
836 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114
Phone (386) 873-7140
Interoperability endpoints
- pamperry@cmcwv.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Daytona Beach, FL
- NPI 1528834124
-
- Prescribing (Medical) Psychologist
- Ormond Beach, FL
- NPI 1720356512
-
- Rural Health Clinic/Center
- Deland, FL
- NPI 1861579104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1376620534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 GLEN CLUB DR",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132348",
"telephone_number": "386-668-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 DR MARY MCLEOD BETHUNE BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321143070",
"telephone_number": "386-873-7140"
}
],
"practiceLocations": [
{
"address_1": "565 Memorial Cir",
"address_purpose": "LOCATION",
"city": "Ormond Beach",
"state": "FL",
"postal_code": "321745001",
"country_code": "US",
"telephone_number": "386-310-8766",
"fax_number": "386-810-8770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 Commed Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327638322",
"country_code": "US",
"telephone_number": "386-775-1792",
"fax_number": "386-775-1750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "BERNAVETTE",
"middle_name": "PAMELA",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "A.R.N.P.2752172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300996300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.