Jennifer Anne Berard, NURSE PRACTITIONER
Individual provider Active NPI Adult Health Nurse Practitioner · Coventry, RI
NPI 1891491874 · NPPES record last updated Feb 1, 2023
Key facts
- NPI
- 1891491874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 03474 (RI)
- Practice address
- 10 Woodland Dr
Coventry, RI 02816-6716 - Phone
- (401) 826-2000
- NPI assigned
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Angels Neurological Centers PC
Practice addresses (Care Compare)
536 Washington St
Abington, MA 02351-2465
Phone (781) 870-3773
Hospital & facility affiliations
- Brown University Health Morton Hospital
- Signature Healthcare Brockton Hospital
- Sturdy Memorial Hospital
- Good Samaritan Medical Center
- South Shore Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250807000674 | MA | Practitioner - Nurse Practitioner | 9537531769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Neurological Centers PC | Current |
Accepting new patients |
Locations
536 Washington St
Abington, MA 02351
Phone (781) 870-3773
149 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 536-6119
305 Broadway
Taunton, MA 02780
Phone (781) 871-3773
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 03474 | RI | Yes |
Addresses
Primary practice location
10 Woodland Dr
Coventry, RI 02816-6716
Mailing address
80 England St
Cumberland, RI 02864-7507
Phone (401) 641-8870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03474 | Other | RI | NP LICENCE NUMBER |
NPI Registry JSON
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1891491874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 ENGLAND ST",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028647507",
"telephone_number": "401-641-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WOODLAND DR",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028166716",
"telephone_number": "401-826-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARD",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "RI",
"license": "03474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENCE NUMBER",
"identifier": "03474",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coventry, RI
- Lauren Baer
- Paula Baillargeon
- Todd Randall Baptista
- Rina Marie Bedford
- Keith Dylan Bennett
- Bernard G Coppolelli DPM, Inc
- Leanne Bertha
- Luz Omaira Betancur
- Bewell Therapy Collaborative, LLC
- Chelsey C. Bhadouria
All providers in Coventry, RI · Adult Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.