NICKETA BERNARD NP
NPI 1184461303
Nurse Practitioner in Fayetteville, GA
About Nicketa Bernard Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKETA BERNARD NP (NPI 1184461303) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (APRN-NP319192) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicketa Bernard Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicketa Bernard's NPI number?
The NPI number for Nicketa Bernard is 1184461303. It was assigned to this individual provider in the NPPES registry on July 15, 2024.
Where is Nicketa Bernard located?
Nicketa Bernard practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (770) 716-0051.
What is Nicketa Bernard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nicketa Bernard enrolled in Medicare?
Yes. Nicketa Bernard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Nicketa Bernard was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicketa Bernard, NP · NPI 1184461303
Nurse Practitioner physician in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1184461303 (Entity type: Individual)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN-NP319192 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1255 HIGHWAY 54 W, Fayetteville, GA 30214-4526
- **Phone:** (770) 716-0051
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184461303) · Data from the CMS NPPES public registry.