Individual provider Active NPI

Bernadette Diego Hipkins, CRNP

  • Family Nurse Practitioner
  • Conowingo, MD
National Provider Identifier
1700343191
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R166294 Issued in MD
Practice address
652 Liberty Grove Rd
Conowingo, MD 21918-1707
Phone
(443) 553-2113
NPI assigned
Feb 21, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R166294 MD Primary
Registered Nurse 163W00000X R166294 MD

Addresses

Primary practice location

652 Liberty Grove Rd
Conowingo, MD 21918-1707

Mailing address

PO Box 91
Port Deposit, MD 21904-0091
Phone (443) 553-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200107002104 MD Practitioner - Nurse Practitioner 0749511541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Biondo and Sim PAGroup PAC ID 4082681689, 4 clinicians

Practice addresses (Care Compare)

251 Lewis LN
Suite 201
Havre de Grace, MD 21078-3753
Phone 4436166236317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R166294MDMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bernadette.hipkins.1@32478.direct.athenahealth.com

Organizations & group practices 1

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1700343191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219040091",
            "telephone_number": "443-553-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 LIBERTY GROVE RD",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219181707",
            "telephone_number": "443-553-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPKINS",
        "first_name": "BERNADETTE",
        "middle_name": "DIEGO",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R166294",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R166294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conowingo, MD

Sources for this page

Verify at the official NPI Registry.