Individual provider Active NPI

Bernice A Hawley, CNP, ACNP

  • Gerontology Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1811219108
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.11363 Issued in OH
Practice address
100 Medical Center Dr
Springfield, OH 45504-2687
Phone
(937) 523-2443
NPI assigned
Feb 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X COA.11363-NP OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.11363 OH Primary

Addresses

Primary practice location

100 Medical Center Dr
Springfield, OH 45504-2687

Mailing address

PO Box 24643
Huber Heights, OH 45424-0643
Phone (937) 974-5966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100607000836 OH Practitioner - Nurse Practitioner 9638209372 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-4147

Hospital & facility affiliations

  • Community Mercy Home Care, LLC Home health agency, Springfield, OH, CCN 367447
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.11363-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Apr 29, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC CurrentSince Aug 26, 2021 Accepting new patients
Hospital Care Group, P.C. CurrentSince May 1, 2024 Accepting new patients
Ohio Musculoskeletal Sports and Spine CurrentSince Feb 3, 2024 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Jun 9, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

30 W McCreight Ave
Ste 106
Springfield, OH 45504
Phone (937) 523-9820

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

200 Medical Center Dr
Ste A
Springfield, OH 45504
Phone (937) 523-9480

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: bhawley871414@direct.bsmhealth.org

Organizations & group practices 7

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.

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": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1811219108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24643",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454240643",
            "telephone_number": "937-974-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042687",
            "telephone_number": "937-523-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "BERNICE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CNP, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.11363-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.11363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.