Individual provider Active NPI

Bernadette Serafini, MSN AGPCNP

  • Gerontology Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1497398606
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11004555 Issued in FL
Practice address
22395 Edgewater Dr
Port Charlotte, FL 33980-2012
Phone
(941) 766-7222
Fax
(941) 766-0970
NPI assigned
Oct 21, 2019
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11004555 FL Primary

Addresses

Primary practice location

22395 Edgewater Dr
Port Charlotte, FL 33980-2012

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200

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
I20191202001499 FL Practitioner - Nurse Practitioner 7113350323 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step of Sarasota IncGroup PAC ID 9830324169, 7 clinicians
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

1750 17TH St
Suite G
Sarasota, FL 34234-8666
Phone (941) 366-5333

5100 Northpoint Pkwy
Pensacola, FL 32514-7844
Phone (850) 484-8383

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004555FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC CurrentSince Oct 1, 2024 Accepting new patients
Lightshare Behavioral Wellness and Recovery CurrentSince Apr 1, 2025 Accepting new patients
Harbor Medical Group LLC CurrentSince Mar 23, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Feb 22, 2021 Accepting new patients
Lightshare Behavioral Wellness and Recovery PastSince Jul 4, 2021 Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

8260 Gladiolus Dr
Fl Cancer
Fort Myers, FL 33908
Phone (239) 437-5755

21202 Olean Blvd
Ste C1
Port Charlotte, FL 33952
Phone (941) 889-7440

21202 Olean Blvd
Ste C6
Pt Charlotte, FL 33952
Phone (941) 889-7440

22395 Edgewater Dr
Pt Charlotte, FL 33980
Phone (941) 766-7222

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

1750 17th St
Ste G
Sarasota, FL 34234
Phone (941) 552-2075

1750 17th St
Ste J2
Sarasota, FL 34234
Phone (941) 552-2075

4579 Northgate Ct
Sarasota, FL 34234
Phone (941) 552-2465

166 Center Rd
Venice, FL 34285
Phone (740) 388-8567

Organizations & group practices 5

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1497398606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-8200",
            "fax_number": "239-278-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22395 EDGEWATER DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802012",
            "telephone_number": "941-766-7222",
            "fax_number": "941-766-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINI",
        "first_name": "BERNADETTE",
        "credential": "MSN AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11004555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.