Individual provider Active NPI

Kristen M Bernockie, NP-C

  • Family Medicine Physician
  • Hudson, NY
National Provider Identifier
1891368080
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
347953 Issued in NY
Practice address
35 Industrial Tract Anx
Hudson, NY 12534-1505
Phone
(518) 291-8844
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 347953 NY Primary

Addresses

Primary practice location

35 Industrial Tract Anx
Hudson, NY 12534-1505

Mailing address

35 Industrial Tract Anx
Hudson, NY 12534-1505
Phone (518) 291-8844

Other practice location 1

146 Jefferson Hts
Catskill, NY 12414-1215
Phone (518) 943-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 1, 2025 through Sep 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347953NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Bernockie NP in Family Health PLLC Family Medicine CurrentSince Feb 10, 2024 Accepting new patients
Hurley Avenue Family Medicine Family Medicine Past Accepting new patients
Tanya D Mays MD PLLC Past Accepting new patients
Clearwater Counseling Inc. Past Accepting new patients
Ajs Mental Health Counseling, PLLC PastSince Mar 6, 2022 Accepting new patients

Locations

35 Industrial Tract Anx
Hudson, NY 12534
Phone (518) 291-8844

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9716/brand/1/csg/1/fhir/r4

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": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1891368080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 INDUSTRIAL TRACT ANX",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341505",
            "telephone_number": "518-291-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 INDUSTRIAL TRACT ANX",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341505",
            "telephone_number": "518-291-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Jefferson Hts",
            "address_purpose": "LOCATION",
            "city": "Catskill",
            "state": "NY",
            "postal_code": "124141215",
            "country_code": "US",
            "telephone_number": "518-943-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNOCKIE",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "347953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.