Individual provider Active NPI

Bertha Dolly Sugerman, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1952474033
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3382742 Issued in FL
Practice address
1585 W 49TH St
Hialeah, FL 33012-2924
Phone
(305) 512-3640
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3382742 FL Primary

Addresses

Primary practice location

1585 W 49TH St
Hialeah, FL 33012-2924

Mailing address

9020 W Thomas Rd
Phoenix, AZ 85037-3234
Phone (602) 889-9401

Other identifiers 1

IdentifierTypeStateIssuer
068651MedicaidAZ

Other names 1

  • Bertha Dolly Serna Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080618000642 FL Practitioner - Nurse Practitioner 5597836569 Reassigns benefits to 1 organization
I20081105000882 AZ Practitioner - Nurse Practitioner 5597836569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masson Medical Specialist CorporationGroup PAC ID 6103284849, 5 clinicians

Practice addresses (Care Compare)

10756 NW 20TH Dr
Coral Springs, FL 33071-4215
Phone (954) 849-6566

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
69.93
Promoting interoperability
100
Improvement activities
40
Cost
77.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3382742FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince Sep 19, 2023 Accepting new patients
Masson Medical Specialist Corporation CurrentSince Oct 22, 2024 Accepting new patients
Equality Health at Home Inc Past Accepting new patients
Precision Pulmonary NP, Inc. Nurse Practitioner PastSince Mar 3, 2013 Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients

Locations

1575 N Dysart Rd
Avondale, AZ 85392
Phone (623) 687-9883

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

3100 N Glassford Hill Rd
Prescott Valley, AZ 86314
Phone (928) 445-0607

155 W Combs Rd
San Tan Vly, AZ 85140
Phone (480) 474-6601

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1952474033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373234",
            "telephone_number": "602-889-9401",
            "fax_number": "602-889-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122924",
            "telephone_number": "305-512-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGERMAN",
        "first_name": "BERTHA",
        "middle_name": "DOLLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3382742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068651",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERTHA",
            "last_name": "SERNA",
            "middle_name": "DOLLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.