JENNIFER M. BERNACHE (NP) – Family Nurse Practitioner, NPI 1619494945
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
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Provider Addresses for JENNIFER M. BERNACHE (NP)
98, Cavalcade Boulevard, Hoxsie, Warwick, Kent County, Rhode Island, 02889, United States
WARWICK, RI 028891605
Phone:
Type: Mailing
54, Reynolds Street, Danielson, Killingly, Windham County, Connecticut, 06239, United States
DANIELSON, CT 062392917
Phone: (860) 774-7501
Fax: (860) 779-2191
Type: Location
375 ALLENS AVE
PROVIDENCE, RI 029055010
Phone: (401) 444-0400
Fax: (401) 444-0468
Type: Mailing
434 MOUNT PLEASANT AVE
PROVIDENCE, RI 029083302
Phone: (888) 612-7242
Fax: (401) 444-0421
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,041.
Total Amount is formed as General ($1,041) + Research ($0) + Ownership ($0) = $1,041.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($241).
Total Amount
$1,041
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,041
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171221001754 | I | Nurse Practitioner | CT | TBD |
| I20221017003090 | I | Nurse Practitioner | RI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02889)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI |
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