Individual provider Active NPI

Laura Bernal

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1730783226
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0100785-C-NP Issued in CO
Practice address
1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597
Phone
(719) 373-9703
Fax
(877) 588-3465
NPI assigned
Nov 24, 2020
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 11010215 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0100785-C-NP CO Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597

Mailing address

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597
Phone (719) 373-9703

Other practice location 1

1689 Zenith Way
Weston, FL 33327-2320
Phone (786) 287-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230608000823 CO Practitioner - Nurse Practitioner 7214394105 Reassigns benefits to 1 organization
I20241113004600 FL Practitioner - Nurse Practitioner 7214394105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monumental Health Partners LLCGroup PAC ID 2062892367, 3 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

2863 Executive Park Dr
Suite 106
Weston, FL 33331-3647
Phone (954) 887-0951

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010215FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC Current Accepting new patients
Achieve Whole Recovery, PC CurrentSince May 26, 2023 Accepting new patients
Achieve Whole Recovery PC CurrentSince May 26, 2023 Accepting new patients
Monumental Health Partners LLC Psychiatric/Mental Health CurrentSince Aug 30, 2024 Accepting new patients
American Hospitalist Company PL Past Accepting new patients

Locations

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

12651 W Sunrise Blvd
Ste 101
Sunrise, FL 33323
Phone (954) 587-7520

2863 Executive Park Dr
Ste 106
Weston, FL 33331
Phone (954) 358-5788

Organizations & group practices 6

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1730783226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-373-9703",
            "fax_number": "877-588-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-373-9703",
            "fax_number": "877-588-3465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1689 Zenith Way",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333272320",
            "country_code": "US",
            "telephone_number": "786-287-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010215",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0100785-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.