Individual provider Active NPI

Jill S Bernhardt, NP

  • Nurse Practitioner
  • Henrietta, NY
National Provider Identifier
1992773105
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F332981 Issued in NY
Practice address
2034 Lehigh Station Rd
Henrietta, NY 14467-9616
Phone
(585) 359-5028
NPI assigned
Mar 14, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F332981 NY Primary

Addresses

Primary practice location

2034 Lehigh Station Rd
Henrietta, NY 14467-9616

Mailing address

39 Norbrook Rd
Fairport, NY 14450-8959
Phone (585) 425-3506

Other practice location 1

300 Meridian Ctr
Suite 300
Rochester, NY 14618-3981
Phone (585) 442-0150

Other names 1

  • Jill S Noble Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332981NYMDPsychiatry Physician
F332981NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Immunology of Rochester, PC PastSince Jul 25, 2021 Accepting new patients

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992773105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NORBROOK RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508959",
            "telephone_number": "585-425-3506",
            "fax_number": "585-359-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 LEHIGH STATION RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679616",
            "telephone_number": "585-359-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Meridian Ctr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146183981",
            "country_code": "US",
            "telephone_number": "585-442-0150",
            "fax_number": "585-442-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNHARDT",
        "first_name": "JILL",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F332981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "NOBLE",
            "middle_name": "S",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henrietta, NY

Sources for this page

Verify at the official NPI Registry.