Virginija Agatha Bernotiene, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11019514 Issued in FL

Practice address

333 Sheridan Rd
Melbourne, FL 32901-3152

Phone

(321) 724-9650

NPI assigned

May 12, 2022

Last updated

May 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen Hornell MD PAGroup PAC ID 6103858105, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stephen Hornell, MD, PA

  dba Melbourne Dermatology Center

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1720157696
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1659018547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013152",
            "telephone_number": "321-724-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013152",
            "telephone_number": "321-724-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNOTIENE",
        "first_name": "VIRGINIJA",
        "middle_name": "AGATHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bermax II LLC (Clevens Center for Facial Cosmetic Surgery)
• Kimberly Patrice Bernard
• Shi-Lynne Bernard, APRN
• Susan Bernard
• Hans Allen Berndes, MD
• Rachel Berrey, RPH
• Diane Berry
• Hannah Berry
• Kaley Rose Berry
• Terri Louise Berry

• Family Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.