Individual provider Active NPI

Melissa Lynette Tillman-Bernard, CRNA

  • Certified Registered Nurse Anesthetist
  • Topeka, KS
National Provider Identifier
1467760884
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2958412 Issued in FL
Practice address
4011 SW 29TH St
Topeka, KS 66614-2218
Phone
(785) 213-0470
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP2958412 FL Primary

Addresses

Primary practice location

4011 SW 29TH St
Topeka, KS 66614-2218

Mailing address

4011 SW 29TH St # 185
Topeka, KS 66614-2218
Phone (785) 213-0470

Other identifiers 2

IdentifierTypeStateIssuer
002679200MedicaidFL
G00JDOtherFLBCBC

Other names 1

  • Melissa Lynette Bernard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, MD, IN, SC, MA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20101028001357 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901090430 Reassigns benefits to 2 organizations
I20180308002541 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901090430 Reassigns benefits to 3 organizations
I20200521002818 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901090430 Reassigns benefits to 1 organization
I20210115000469 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901090430 Reassigns benefits to 1 organization
I20240313004248 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901090430 Reassigns benefits to 1 organization
I20241021000274 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901090430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 21, 2010 Accepting new patients
Musc Community Physicians CurrentSince Nov 21, 2023 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Apr 20, 2020 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2025 Accepting new patients
Salem Health CurrentSince Nov 3, 2022 Accepting new patients
Salem Health CurrentSince Nov 3, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 21, 2010 Accepting new patients
Salem Health Current Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Mar 5, 2018 Accepting new patients
Coastal Medical Associates Nurse Anesthetist, Certified Registered CurrentSince Jul 12, 2024 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Deaconess Hospital Inc CurrentSince Jan 14, 2025 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Apr 20, 2020 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 1, 2021 Accepting new patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Musc Community Physicians CurrentSince Nov 21, 2023 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
Ste A327
Tampa, FL 33606
Phone (813) 635-5817

400 N Ashley Dr
Ste 1625
Tampa, FL 33602
Phone (813) 289-6597

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1467760884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 SW 29TH ST # 185",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142218",
            "telephone_number": "785-213-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142218",
            "telephone_number": "785-213-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN-BERNARD",
        "first_name": "MELISSA",
        "middle_name": "LYNETTE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2958412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002679200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "G00JD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BERNARD",
            "middle_name": "LYNETTE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.