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KIMBERLY JEAN BERNDT PMHNP-BC NPI 1083923049


NPI Information

NPI: 1083923049
Provider Name: KIMBERLY JEAN BERNDT, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2810 CROSSROADS DR STE 4000
MADISON, WI
ZIP 53718
Phone: (855) 300-9893
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Kimberly Jean Berndt, PMHNP-BC is a psychiatric/mental health nurse practitioner in Madison, WI with 6 years of experience. Kimberly Jean Berndt, PMHNP-BC NPI is 1083923049. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2810 CROSSROADS DR STE 4000
MADISON, WI
ZIP 53718-014
Phone: (855) 300-9893
Fax: (855) 300-9893

The NPI 1083923049 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90833)
  • Psychotherapy, 45 minutes (HCPCS:90836)

The enumeration date for this NPI number is 9/24/2010 and was last updated on 9/20/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0808XRegistered NursePsychiatric/Mental Health174079-030WISCONSINNo
2163W00000XRegistered Nurse174079-030WISCONSINNo
3163WP0808XRegistered NursePsychiatric/Mental Health8912-33WISCONSINNo
4363L00000XNurse Practitioner174079-30WISCONSINNo
5363LP0808XNurse PractitionerPsychiatric/Mental Health172631MONTANANo
6363LP0808XNurse PractitionerPsychiatric/Mental Health8912-33WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100083956MEDICAIDWISCONSIN
2100083911MEDICAIDWISCONSIN
3100126024MEDICAIDWISCONSIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.