Individual provider Active NPI

Jennifer M. Bernache, NP

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1619494945
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN01568 Issued in RI
Practice address
434 Mount Pleasant Ave
Providence, RI 02908-3302
Phone
(888) 612-7242
Fax
(401) 444-0421
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 48552 RI
Family Nurse Practitioner 363LF0000X 7313 CT
Family Nurse Practitioner 363LF0000X APRN01568 RI Primary

Addresses

Primary practice location

434 Mount Pleasant Ave
Providence, RI 02908-3302

Mailing address

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 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
I20171221001754 CT Practitioner - Nurse Practitioner 9537427562
I20221017003090 RI Practitioner - Nurse Practitioner 9537427562 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48552RIMDEmergency Registered Nurse
7313CTMDFamily Nurse Practitioner
APRN01568RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Snow Family Medicine, LLC Family CurrentSince Oct 23, 2023 Accepting new patients
Snow Family Wellness Family PastSince Nov 30, 2025 Accepting new patients

Locations

2220 Plainfield Pike
Cranston, RI 02921
Phone (401) 383-3400

Organizations & group practices 2

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1619494945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400",
            "fax_number": "401-444-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MOUNT PLEASANT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083302",
            "telephone_number": "888-612-7242",
            "fax_number": "401-444-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNACHE",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "RI",
            "license": "48552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7313",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.