Individual provider Active NPI

Rushelle Oshea Bernett

  • Family Nurse Practitioner
  • Long Beach, NY
National Provider Identifier
1669007928
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344916-01 Issued in NY
Practice address
265 W Park Ave
Long Beach, NY 11561-3222
Phone
(516) 431-3600
NPI assigned
Mar 6, 2020
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344916-01 NY Primary

Addresses

Primary practice location

265 W Park Ave
Long Beach, NY 11561-3222

Mailing address

14722 231St St
Springfield Gardens, NY 11413-4428
Phone (718) 737-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210604002812 NY Practitioner - Nurse Practitioner 9436558814 Reassigns benefits to 2 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
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
Brownsville Community Development CorporationGroup PAC ID 7416903323, shared by 5 NPIs, 18 clinicians

Practice addresses (Care Compare)

2640 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 537-9064

408 Rockaway Ave
3Rd FL
Brooklyn, NY 11212-5539

592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone (718) 345-5000

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344916-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince Aug 3, 2021 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Oct 1, 2021 Accepting new patients
Brownsville Community Development Corporation Past Accepting new patients

Locations

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

2640 Merrick Rd
Bellmore, NY 11710
Phone (516) 537-9064

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

175 E 96th St
New York, NY 10128
Phone (212) 426-1970

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Interoperability endpoints

  • Direct secure messaging: rbernett1345964@nychhc.direct-ci.com
  • Direct secure messaging: rushelle.bernett.1@13126.direct.athenahealth.com
  • Direct secure messaging: rushelle.bernett@ghuc.eclinicaldirectplus.com

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, 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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1669007928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14722 231ST ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134428",
            "telephone_number": "718-737-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613222",
            "telephone_number": "516-431-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNETT",
        "first_name": "RUSHELLE",
        "middle_name": "OSHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344916-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.