Bernadette Diego Hipkins, CRNP
Individual provider Active NPI Family Nurse Practitioner · Conowingo, MD
NPI 1700343191 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1700343191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R166294 (MD)
- Practice address
- 652 Liberty Grove Rd
Conowingo, MD 21918-1707 - Phone
- (443) 553-2113
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 PA
Practice addresses (Care Compare)
251 Lewis LN
Suite 201
Havre de Grace, MD 21078-3753
Phone 4436166236317
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200107002104 | MD | Practitioner - Nurse Practitioner | 0749511541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R166294 | MD | MD | Registered Nurse |
Interoperability endpoints
- bernadette.hipkins.1@32478.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R166294 | MD | |
| Family Nurse Practitioner | 363LF0000X | R166294 | MD | Yes |
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
Other providers in Conowingo, MD
- Dawn Marie Gomez
- Kericia Hall-Chambers
- Lillie Yvonne Hamilton
- Kate Hartsoe
- Steven Jay Hess
- Sharon Holloway
- April C Hopkins
- Gregory G Indyke
- Jessica M Koontz-Ferrera
- Laurene Lagano
All providers in Conowingo, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.