BERNARD J VONDERHAAR DNP
NPI 1255803045
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Bernard Vonderhaar's NPI number?

The NPI number for Bernard Vonderhaar is 1255803045. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Q: What is Bernard Vonderhaar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 18, 2018PECOS EnrolledAccepts Medicare Assignment

3240 W DIVISION ST, CHICAGO, IL 60651(312) 413-7425 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 28, 2018, Dec 18, 2018 (2 updates tracked since 2018).

On this page

About Bernard J Vonderhaar Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNARD J VONDERHAAR DNP (NPI 1255803045) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.018283) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255803045

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBERNARD J VONDERHAARCredential: DNP

Location Address3240 W DIVISION STChicago, IL 60651-2405

Mailing Address2216 W Belmont Ave # 2fChicago, IL 60618-6421 · (773) 391-6703

Phone(312) 413-7425

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 18, 2018

Last NPPES UpdateDecember 28, 20182 updates tracked since enumeration

✔ NPI 1255803045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.018283

3240 W DIVISION ST, Chicago, IL 60651

Open in Google Maps ↗

Secondary Practice Location 1

Location 11220 S Wood StChicago, IL 60608-1202 · Phone (312) 996-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bernard J Vonderhaar Dnp 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.

PECOS PAC ID2466882105

PECOS Enrollment IDI20200421003054

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bernard Vonderhaar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois

1.9 mi

Dermatology

808 S WOOD ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1265651434 (312) 996-6966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60651 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY THERESE MOORE RN, DNP STUDENT

Registered Nurse (Ambulatory Care)