Individual provider Active NPI

Wendy Bernard

  • Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1871979138
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9276095 Issued in FL
Practice address
1190 NE 125TH St
North Miami, FL 33161
Phone
(305) 891-7500
Fax
(305) 985-6233
NPI assigned
Aug 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 ARNP9276095 FL Primary

Addresses

Primary practice location

1190 NE 125TH St
North Miami, FL 33161

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

1951 SW 172nd Ave
Suite 305
Miramar, FL 33029-5593
Phone (305) 606-7028

Other practice location 2

1951 SW 172nd Ave
Suite 305
Miramar, FL 33029-5593
Phone (305) 606-7028

Other identifiers 9

IdentifierTypeStateIssuer
4913842OtherFLAETNA
P1035024OtherFLFREEDOM
9050721OtherFLCIGNA
IJ598YOtherFLMEDICARE (BROWARD COUNTY)
P01568202OtherFLRR MEDICARE
P01793250OtherFLSIMPLY
P970844OtherFLOPTIMUM
QMYUDOtherFLBCBS
IJ598ZOtherFLMEDICARE (DADE COUNTY)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151202001302 FL Practitioner - Nurse Practitioner 5597065276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chen Neighborhood Medical Centers of South Florida, LLCGroup PAC ID 2860623436, 37 clinicians

Practice addresses (Care Compare)

1190 NE 125TH St
North Miami, FL 33161-5020
Phone (305) 891-7500

20801 NW 2ND Ave
Miami Gardens, FL 33169-2103
Phone (305) 653-1770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9276095FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Aug 24, 2015 Accepting new patients
Genesiscare USA of Florida LLC Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Aug 24, 2015 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

1951 SW 172nd Ave
Ste 305
Miramar, FL 33029
Phone (954) 362-2720

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1871979138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "305-891-7500",
            "fax_number": "305-985-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295593",
            "country_code": "US",
            "telephone_number": "305-606-7028",
            "fax_number": "954-362-2761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 SW 172nd Ave",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295593",
            "country_code": "US",
            "telephone_number": "305-606-7028",
            "fax_number": "954-362-2761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "WENDY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-09",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9276095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4913842",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P1035024",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9050721",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (BROWARD COUNTY)",
            "identifier": "IJ598Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01568202",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMPLY",
            "identifier": "P01793250",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P970844",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "QMYUD",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (DADE COUNTY)",
            "identifier": "IJ598Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.