Active NPI
Wendy Bernard
- Nurse Practitioner
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9276095
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4913842 | Other | FL | AETNA |
| P1035024 | Other | FL | FREEDOM |
| 9050721 | Other | FL | CIGNA |
| IJ598Y | Other | FL | MEDICARE (BROWARD COUNTY) |
| P01568202 | Other | FL | RR MEDICARE |
| P01793250 | Other | FL | SIMPLY |
| P970844 | Other | FL | OPTIMUM |
| QMYUD | Other | FL | BCBS |
| IJ598Z | Other | FL | MEDICARE (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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9276095 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.