BERNITTA COLLEY (APRN) – Primary Care Nurse Practitioner, NPI 1255113346

BERNITTA COLLEY (APRN) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11029125 (FL). The NPI Number for BERNITTA COLLEY (APRN) is 1255113346

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
BERNITTA COLLEY (APRN)
NPI
1255113346
Phone
(405) 488-7512
Address
4655 SALISBURY RD STE 220
Enumeration Date
16 October 2023
Last Update Date
16 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045709404
Graduation Year
2023 (3 years ago)
PAC ID
3173974995
Group Practice PAC ID
3779991542
Professional Enrollment ID
I20240105002408
Address ID
FL322560959JA4655XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for BERNITTA COLLEY (APRN)

  • 4655 SALISBURY RD STE 220

    JACKSONVILLE, FL 322560959

    Phone: (405) 488-7512

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240105002408INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4644$0
36415Insertion of needle into vein for collection of blood sample1715$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1412$0
80061Blood test, lipids (cholesterol and triglycerides)1312$0
84443Blood test, thyroid stimulating hormone (tsh)1311$0
View full utilization report →

Insurance plans in this area (ZIP 32256)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779991542View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Emergency MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to BERNITTA COLLEY (APRN)?
NPI 1255113346 is assigned to BERNITTA COLLEY (APRN) under the national enumeration system.
Is BERNITTA COLLEY (APRN) currently active in the NPI registry?
CMS-published data lists BERNITTA COLLEY (APRN) as an active registrant.
What kind of provider is BERNITTA COLLEY (APRN)?
The page reflects Primary Care Nurse Practitioner for BERNITTA COLLEY (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for BERNITTA COLLEY (APRN)?
The page summarizes Jacksonville, Florida for BERNITTA COLLEY (APRN); expand the address list for detail.
Is BERNITTA COLLEY (APRN) a real provider?
This page reflects official NPPES data for NPI 1255113346. Always confirm identity and privileges with the practice and licensing boards.

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