Active NPI
Dana Bernardo, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Hattiesburg, MS
On this page
- Key facts
- Organizations & group practices16
- Hospital & facility affiliations1
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Hattiesburg, MS
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901424
- Practice address
- 415 S 28TH Ave
Hattiesburg, MS 39401-7246 - Phone
- (601) 261-3606
- Fax
- (601) 579-5383
- NPI assigned
- Nov 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
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.
-
- Neurology Physician
- Tupelo, MS
- NPI 1417357427
-
- Rural Health Clinic/Center
- Tupelo, MS
- NPI 1649727447
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- Skilled Nursing Facility
- Baldwyn, MS
- NPI 1164539193
-
- Psychiatric Hospital Unit
- Tupelo, MS
- NPI 1265549646
-
- Rehabilitation Hospital Unit
- Tupelo, MS
- NPI 1326155706
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
- Community Based Hospice Care Agency
- Tupelo, MS
- NPI 1982669156
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1730283896
-
- Ophthalmologic Surgery Clinic/Center
- Hattiesburg, MS
- NPI 1073791158
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hattiesburg Clinic PANorth Mississippi Medical Center, Inc.
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg Clinic Department of Neurosurge
Hattiesburg, MS 39401-7246
Phone (601) 579-5459
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
- Forrest General Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170228000480 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8426332057 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901424 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Southern Eye Surgery Center LLC | Current | Accepting new patients | |
| Southern Eye Surgery Center LLC | Current | Accepting new patients | |
| Southern Eye Surgery and Laser Center, LLC | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Current | Accepting new patients |
Locations
1420 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 264-3937
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- dbernardo59479@directpatientrecord.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 901424 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05331247 | Medicaid | MS |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbernardo59479@directpatientrecord.com | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2020.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1972046282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-261-3606",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-261-3606",
"fax_number": "601-579-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARDO",
"first_name": "DANA",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05331247",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbernardo59479@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "415 S 28th Ave",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394017246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.