Active NPI
Kristen M Bernockie, NP-C
- Family Medicine Physician
- Hudson, NY
National Provider Identifier
1891368080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 347953
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 347953 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristen Bernockie NP in Family Health PLLC | Family Medicine | Current | 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 | Past | Accepting new patients |
Locations
35 Industrial Tract Anx
Hudson, NY 12534
Phone (518) 291-8844
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Germantown, NY
- NPI 1043908429
Family Medicine
-
- Mental Health Counselor
- Hudson, NY
- NPI 1508414905
-
- Community/Behavioral Health Agency
- Hudson, NY
- NPI 1477914364
-
- Family Medicine Physician
- Saugerties, NY
- NPI 1245599877
Family Medicine
-
- Obstetrics & Gynecology Physician
- Hudson, NY
- NPI 1891199196
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.