Individual provider Active NPI

Nannette E Bernales, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lexington, KY
National Provider Identifier
1710926738
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
23610 Issued in KY
Practice address
1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone
(859) 278-4869
Fax
(859) 296-0362
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23610 KY
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 23610 KY Primary

Addresses

Primary practice location

1733 Harrodsburg Rd
Lexington, KY 40504-3617

Mailing address

1733 Harrodsburg Rd
Lexington, KY 40504-3277
Phone (859) 278-4869

Other identifiers 3

IdentifierTypeStateIssuer
64236102MedicaidKY
080105457OtherKYRAILROAD MEDICARE
2332407MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23610OHMDPharmacist
23610KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Center of the Bluegrass Inc. Family Medicine CurrentSince Mar 2, 2017 Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

1733 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-5344

2312 Alexandria Dr
Lexington, KY 40504
Phone (859) 276-5344

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1710926738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043277",
            "telephone_number": "859-278-4869",
            "fax_number": "859-296-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043617",
            "telephone_number": "859-278-4869",
            "fax_number": "859-296-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNALES",
        "first_name": "NANNETTE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23610",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "23610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64236102",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080105457",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.