Individual provider Active NPI

Diana P Bernardez, MSN, AGNP-C

  • Adult Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1407482029
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
315148 Issued in AZ
Practice address
15351 W Bell Rd
Surprise, AZ 85374-4580
Phone
(480) 964-2273
Fax
(623) 213-5214
NPI assigned
Mar 15, 2020
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP145566 TX
Adult Health Nurse Practitioner 363LA2200X 315148 AZ Primary
Gerontology Nurse Practitioner 363LG0600X AP145566 TX
Gerontology Nurse Practitioner 363LG0600X 315148 AZ
Primary Care Nurse Practitioner 363LP2300X AP145566 TX

Addresses

Primary practice location

15351 W Bell Rd
Surprise, AZ 85374-4580

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Other practice location 1

400 Harborside Dr Ste 100
Galveston, TX 77555-5302
Phone (409) 772-0700

Other practice location 2

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220916002327 TX Practitioner - Nurse Practitioner 4880079425 Reassigns benefits to 1 organization
I20250306003818 AZ Practitioner - Nurse Practitioner 4880079425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

15317 W Bell Rd
Suite 100
Surprise, AZ 85374-3900
Phone (877) 809-5092

15351 W Bell Rd
Surprise, AZ 85374-4580
Phone (877) 809-5092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
315148AZMDGerontology Nurse Practitioner
AP145566TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc. Current Accepting new patients
Adelante Healthcare, Inc. CurrentSince Dec 29, 2024 Accepting new patients
Adelante Healthcare, Inc CurrentSince Dec 29, 2024 Accepting new patients
Utmb Faculty Group Practice CurrentSince Sep 15, 2022 Accepting new patients

Locations

13471 W Cornerstone Blvd
Goodyear, AZ 85395
Phone (844) 551-6691

13471 W Cornerstone Blvd
Ste B150
Goodyear, AZ 85395

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15351 W Bell Rd
Surprise, AZ 85374

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1407482029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001",
            "fax_number": "623-974-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15351 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744580",
            "telephone_number": "480-964-2273",
            "fax_number": "623-213-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Harborside Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775555302",
            "country_code": "US",
            "telephone_number": "409-772-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775555302",
            "country_code": "US",
            "telephone_number": "409-772-0700",
            "fax_number": "409-747-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARDEZ",
        "first_name": "DIANA",
        "middle_name": "P",
        "credential": "MSN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-15",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145566",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "315148",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP145566",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "315148",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP145566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.