Individual provider Active NPI

Gary Christopher Bernardo, CNP

  • Primary Care Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1508661083
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AG09240049 Issued in OH
Practice address
38401 Mentor Ave Unit 8209
Willoughby, OH 44094-8766
Phone
(330) 283-6394
NPI assigned
Feb 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AG09240049 OH Primary

Addresses

Primary practice location

38401 Mentor Ave Unit 8209
Willoughby, OH 44094-8766

Mailing address

38401 Mentor Ave Unit 8209
Willoughby, OH 44094-8766
Phone (330) 283-6394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250627001200 OH Practitioner - Nurse Practitioner 0749793362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalist LLCGroup PAC ID 5496648123, 50 clinicians
Cleveland Kidney and Hypertension Consultants IncGroup PAC ID 0840247763, 8 clinicians

Practice addresses (Care Compare)

12340 Bass Lake Rd
Chardon, OH 44024-8327
Phone (440) 285-4040

25301 Euclid Ave
Second Floor
Euclid, OH 44117-2609
Phone (216) 261-6263

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG09240049OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Nephrology Care LTD. CurrentSince Jul 14, 2025 Accepting new patients
Cleveland Kidney & Hypertension Consultants Inc CurrentSince Jul 14, 2025 Accepting new patients

Locations

12340 Bass Lake Rd
Chardon, OH 44024
Phone (440) 279-2415

25301 Euclid Ave
Fl Second
Euclid, OH 44117
Phone (216) 261-6263

25301 Euclid Ave
Euclid, OH 44117
Phone (216) 261-6263

25301 Euclid Ave
Ste 2
Euclid, OH 44117

18720 Chagrin Blvd
Shaker Heights, OH 44122
Phone (216) 295-7003

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.

Hospital & facility affiliations 3

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": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1508661083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38401 MENTOR AVE UNIT 8209",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948766",
            "telephone_number": "330-283-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38401 MENTOR AVE UNIT 8209",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948766",
            "telephone_number": "330-283-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "GARY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "AG09240049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.