MRS. RENE L BERNARD FNP NPI 1568446805

NPI Information

NPI: 1568446805
Provider Name: MRS. RENE L BERNARD, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
104 E MARKET ST
MC LEANSBORO, IL
ZIP 62859
Phone: (618) 643-3051
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MRS. Rene L Bernard, FNP is a family nurse practitioner in Mc Leansboro, IL. MRS. Rene L Bernard, FNP NPI is 1568446805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 E MARKET ST
MC LEANSBORO, IL
ZIP 62859-317
Phone: (618) 643-3051
Fax: (618) 643-3164

The NPI 1568446805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	20900237	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	208051126	OTHER	ILLINOIS	EIN
2	03332007	OTHER	ILLINOIS	BCBS#
3	DG2570	OTHER	ILLINOIS	RAILROAD MEDICARE #
4	1174669568	OTHER	ILLINOIS	CLINIC NPI
5	Q24440	OTHER	ILLINOIS	UPIN #
6	P00425296	OTHER	ILLINOIS	RAILROAD MEDICARE #
7	788058	OTHER	ILLINOIS	HEALTHLINK #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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