Kristen M Bernockie, NP-C

Family Medicine in Hudson, NY. Individual provider (NPI-1).

NPI number1891368080

StatusActive

Last updated in NPPESNov 20, 2023

Details

NPI: 1891368080
Entity type: Individual (NPI-1)
Name: Ms. Kristen M Bernockie
Credential: NP-C
Sex: Female
Sole proprietor: Yes
Enumeration date: Jul 23, 2021
Certification date: Nov 20, 2023
Last updated: Nov 20, 2023

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
Medicare opt-out: Sep 1, 2025 to Sep 1, 2027
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	347953	NY	Yes

Practice location

35 Industrial Tract Anx
Hudson, NY 12534-1505

Phone 518-291-8844

Mailing address

35 Industrial Tract Anx
Hudson, NY 12534-1505

Phone 518-291-8844

Other practice locations

146 Jefferson Hts
Catskill, NY 12414-1215

Phone 518-943-6101

Is something wrong?

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Other Family Medicine Physician providers in Hudson, NY

All 12 Family Medicine Physician providers in Hudson · All 617 providers in Hudson

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