Kristin Ann Berntsen, NP - Medicare Nurse Practitioner in Staten Island, NY

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Kristin Ann Berntsen, NP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 1050 Clove Road, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 816-6440.

Kristin Ann Berntsen is licensed to practice in New York (license number 337143) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295008654.

Contact Information

Kristin Ann Berntsen, NP
1050 Clove Road,
Staten Island, NY 10301-3627
(718) 816-6440
(718) 816-3642

Map and Direction




Provider's Profile

Full NameKristin Ann Berntsen
GenderFemale
SpecialityNurse Practitioner - Family
Location1050 Clove Road, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295008654
  • Provider Enumeration Date: 02/15/2012
  • Last Update Date: 01/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7214185255
  • Enrollment ID: I20180711000477

Medical Identifiers

Medical identifiers for Kristin Ann Berntsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295008654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 337143 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin Ann Berntsen allows following entities to bill medicare on her behalf.
Entity NameImmediate Care Medical Walk In Of Hazlet Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245595313
PECOS PAC ID: 0547410797
Enrollment ID: O20121024000045
Entity NameImmediate Care Medical Walk-in Of Toms River
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013337633
PECOS PAC ID: 8921228511
Enrollment ID: O20141002000774
Entity NameUrgent Care Physicians Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447622402
PECOS PAC ID: 1658674585
Enrollment ID: O20160126002347

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Ann Berntsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristin Ann Berntsen, NP
2791 Richmond Ave., Suite 201,
Staten Island, NY 10314-5859

Ph: (718) 816-6440		Kristin Ann Berntsen, NP
1050 Clove Road,
Staten Island, NY 10301-3627

Ph: (718) 816-6440

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.