Individual provider Active NPI

Bernadette Marie Walsh, DNP, WHNP-BC

  • Family Nurse Practitioner
  • Sparta, NJ
National Provider Identifier
1881874428
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00158400 Issued in NJ
Practice address
21 Mohawk Ave
Sparta, NJ 07871-1808
Phone
(973) 729-4211
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NO08389000 NJ
Women's Health Clinical Nurse Specialist 364SW0102X 26NJ00158400 NJ
Family Nurse Practitioner 363LF0000X 26NJ00158400 NJ Primary

Addresses

Primary practice location

21 Mohawk Ave
Sparta, NJ 07871-1808

Mailing address

21 Mohawk Ave
Sparta, NJ 07871-1808
Phone (973) 729-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150324000350 NJ Practitioner - Nurse Practitioner 3072830454 Reassigns benefits to 4 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
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO08389000NJMDRegistered Nurse
26NJ00158400NJMDWomen's Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 1, 2025 Accepting new patients
OB-GYN Professional Care ,LLC CurrentSince Jun 1, 2017 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2017 Accepting new patients
Practice Associates Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2017 Accepting new patients
Riverside Medical Group Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

1187 Main Ave
Ste 1A
Clifton, NJ 07011
Phone (570) 878-1169

1045 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 883-1111

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

792 Chimney Rock Rd
Ste A
Martinsville, NJ 08836
Phone (908) 333-0614

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

175 High St
Newton, NJ 07860
Phone (973) 383-2121

695 N Route 17
Paramus, NJ 07652
Phone (201) 597-4000

156 Market St
Paterson, NJ 07505
Phone (973) 742-7720

333 Mount Hope Ave
Ste 250
Rockaway, NJ 07866
Phone (973) 891-3680

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: bwalsh558956@direct.ahsys.org
  • Direct secure messaging: bwalsh76766@direct.optum.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIIHCA

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 1

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1881874428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MOHAWK AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711808",
            "telephone_number": "973-729-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MOHAWK AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711808",
            "telephone_number": "973-729-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "BERNADETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DNP, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO08389000",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "NJ",
            "license": "26NJ00158400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00158400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.