Individual provider Active NPI

Hannah Ruth Bernadsky, FNP-C

  • Nurse Practitioner
  • Waipahu, HI
National Provider Identifier
1902532039
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-3755 Issued in HI
Practice address
94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone
(808) 206-9849
Fax
(808) 206-9850
NPI assigned
Jul 29, 2022
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-3755 HI Primary
Family Nurse Practitioner 363LF0000X 181416 AK

Addresses

Primary practice location

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032

Mailing address

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone (808) 206-9849

Other identifiers 1

IdentifierTypeStateIssuer
004578MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hbernadsky45551@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20221202001192 HI Practitioner - Nurse Practitioner 0648649236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Nephrologists LLCGroup PAC ID 6709007420, 8 clinicians

Practice addresses (Care Compare)

94 -229 Waipahu Depot St
Suite 101
Waipahu, HI 96797-3032
Phone (808) 206-9849

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181416AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Nephrologists LLC CurrentSince Nov 11, 2022 Accepting new patients

Locations

75-184 Hualalai Rd
Ste 202
Kailua Kona, HI 96740
Phone (808) 329-8251

94-229 Waipahu Depot St
Ste 101
Waipahu, HI 96797
Phone (808) 206-9849

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1902532039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNADSKY",
        "first_name": "HANNAH",
        "middle_name": "RUTH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3755",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "181416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004578",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbernadsky45551@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "94-229 Waipahu Depot St Ste 101",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967973032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.