Individual provider Active NPI

Judith L Bernardo, APN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1750603379
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001169 Issued in NV
Practice address
2801 S Valley View Blvd Ste 4
Las Vegas, NV 89102-0116
Phone
(702) 780-6768
Fax
(702) 946-0368
NPI assigned
Feb 23, 2010
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN001169 NV Primary

Addresses

Primary practice location

2801 S Valley View Blvd Ste 4
Las Vegas, NV 89102-0116

Mailing address

2801 S Valley View Blvd Ste 4
Las Vegas, NV 89102-0116
Phone (702) 780-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20100628000720 NV Practitioner - Nurse Practitioner 6608907126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ejaz Kamboj MD IncGroup PAC ID 3173417516, 2 clinicians

Practice addresses (Care Compare)

1770 N Buffalo Dr
Suite 103
Las Vegas, NV 89128-2679
Phone (702) 650-0009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
7.75 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
25.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ejaz Kamboj, MD, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Wound Docs, LLC CurrentSince Dec 1, 2025 Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Mar 16, 2019 Accepting new patients
Homebase Care Casal PLLC CurrentSince Mar 16, 2019 Accepting new patients
Jam Healthcare Inc CurrentSince Feb 19, 2021 Accepting new patients

Locations

1770 N Buffalo Dr
Ste 103
Las Vegas, NV 89128
Phone (702) 650-0009

2801 S Valley View Blvd
Ste 4
Las Vegas, NV 89102
Phone (702) 780-6768

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

3950 S Eastern Ave
Ste 120
Las Vegas, NV 89119
Phone (702) 629-3146

5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2406

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1750603379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S VALLEY VIEW BLVD STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020116",
            "telephone_number": "702-780-6768",
            "fax_number": "702-946-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S VALLEY VIEW BLVD STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020116",
            "telephone_number": "702-780-6768",
            "fax_number": "702-946-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "JUDITH",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.