Individual provider Active NPI

Dana Lee Bernbach, CPNP, CNNP

  • Pediatric Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1427243138
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2381947 Issued in MA
Practice address
New Bedford Community Health
874 Purchase Street
New Bedford, MA 02740
Phone
(508) 992-6553
Fax
(508) 997-2498
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 453840 NY
Pediatric Nurse Practitioner 363LP0200X 381794 NY
Pediatric Nurse Practitioner 363LP0200X RN2381947 MA Primary

Addresses

Primary practice location

New Bedford Community Health
874 Purchase Street
New Bedford, MA 02740

Mailing address

New Bedford Community Health
874 Purchase Street
New Bedford, MA 02740-6232
Phone (508) 992-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 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
I20190416002252 NY Practitioner - Nurse Practitioner 1658501473 Reassigns benefits to 1 organization
I20240613002866 MA Practitioner - Nurse Practitioner 1658501473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
453840NYMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP CurrentSince Mar 5, 2019 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Mar 5, 2019 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince May 7, 2024 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince May 7, 2024 Accepting new patients

Locations

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

171 Route 202
Garnerville, NY 10923
Phone (845) 947-1772

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dbernbach45707@direct.ctc.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1427243138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW BEDFORD COMMUNITY HEALTH",
            "address_2": "874 PURCHASE STREET",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406232",
            "telephone_number": "508-992-6553",
            "fax_number": "508-997-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW BEDFORD COMMUNITY HEALTH",
            "address_2": "874 PURCHASE STREET",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-992-6553",
            "fax_number": "508-997-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNBACH",
        "first_name": "DANA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CPNP, CNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NY",
            "license": "453840",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381794",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2381947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.