Active NPI
Ma Mildred Bebero, FNP
- Primary Care Nurse Practitioner
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95010918
- Practice address
- 315 E 13TH St
Merced, CA 95341-6211 - Phone
- (209) 564-4500
- NPI assigned
- Feb 28, 2019
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95010918 | CA | Primary |
Addresses
Primary practice location
315 E 13TH St
Merced, CA 95341-6211
Mailing address
410 E Yosemite Ave
Ste a
Merced, CA 95340-8220
Phone (209) 384-9108
Other names 1
- Mildred Bebero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
410 E Yosemite Ave
Suite a
Merced, CA 95340-8220
Phone (209) 384-9108
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010918 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provident Primary Care Inc | Primary Care | Current | Accepting new patients |
| Sunit R Patel MD a Professional Corporation | Past | Accepting new patients |
Locations
3349 G St
Ste C
Merced, CA 95340
Phone (209) 384-4400
410 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 384-9108
450 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 723-4885
Interoperability endpoints
- mamildredbebero@mcpmedicalofc.directglo.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Merced, CA
- NPI 1154785517
-
dba Sunit R Patel MD INC
- Specialist
- Merced, CA
- NPI 1245403500
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Compassionate Care Home Health Agency, LLC
- Home Health Agency
- Fresno, CA
- NPI 1609826387
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1841757598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E YOSEMITE AVE",
"address_2": "STE A",
"city": "MERCED",
"state": "CA",
"postal_code": "953408220",
"telephone_number": "209-384-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416211",
"telephone_number": "209-564-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEBERO",
"first_name": "MA MILDRED",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95010918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILDRED",
"last_name": "BEBERO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.