Individual provider Active NPI

Bernavette Pamela Perry, A.R.N.P.

  • Pediatric Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1376620534
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
A.R.N.P.2752172 Issued in FL
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

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300996300MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324004322 FL Practitioner - Nurse Practitioner 3577954171 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A.R.N.P.2752172FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ropha Healthcare CurrentSince Nov 24, 2025 Accepting new patients
Community Medical Center of West Volusia PA Past Accepting new patients
Advanced Practice Nursing Services, LLC PastSince Aug 1, 2020 Accepting new patients

Locations

836 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114
Phone (386) 873-7140

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.