DR. REBEKAH BERNARD MD
NPI 1417976994
Family Medicine in Fort Myers, FL

Active since July 18, 2006Opted out of Medicare · through Jan 1, 2027CLIA 10D2114898 · Waiver
17595 S TAMIAMI TRL, SUITE 227, FORT MYERS, FL 33908(239) 322-3860 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rebekah Bernard Md NPPES

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

DR. REBEKAH BERNARD MD (NPI 1417976994) is an individual family medicine provider in Fort Myers, Florida, licensed in Florida (ME81729) and active in the NPI registry since July 2006. She has opted out of Medicare through January 1, 2027 and holds a CLIA Waiver certificate valid through June 21, 2028.

NPPES Registry Identity

NPI1417976994
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REBEKAH BERNARDCredential: MD
Location Address17595 S TAMIAMI TRL, SUITE 227Fort Myers, FL 33908-4570
Mailing Address10317 Carolina Willow DrFort Myers, FL 33913-8806
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 31, 2017
NPI 1417976994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME81729
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17595 S TAMIAMI TRL, Fort Myers, FL 33908

Other Identifiers 3

Medicaid264407000FL
Medicare PIN13645YFL
Medicare UPINH64831FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Rebekah Bernard Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2114898

Rebekah Bernard, MD, PA Dba Gulf Coast Direct Primary Care · Fort Myers, FL
Active · expires Jun 21, 2028
CLIA Number10D2114898
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorRebekah A. Bernard
Laboratory Phone(239) 322-3860
Laboratory LocationRebekah Bernard, MD, PA Dba Gulf Coast Direct Primary Care17595 S Tamiami Trail, Ste 204, Fort Myers, FL 33908
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size more than 48 sq. in., each A6023
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims120 services$185.35 avg. paid by Medicare
Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions E0467
DME-Other DME · category DE005N
1 supplier12 claims33 services$1,072.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$20.74 avg. paid by Medicare
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access E2510
DME-Other DME · category DE000N
1 supplier16 claims44 services$628.25 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$104.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
17595 S TAMIAMI TRL, SUITE #108
FORT MYERS, FL 33908
Marriage & Family Therapist
17595 S TAMIAMI TRL, STE 200-3
FORT MYERS, FL 33908

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 Rebekah Bernard's NPI number?

The NPI number for Rebekah Bernard is 1417976994. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Rebekah Bernard located?

Rebekah Bernard practices at 17595 S Tamiami Trl Suite 227, Fort Myers, FL 33908. The listed phone number is (239) 322-3860.

What is Rebekah Bernard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rebekah Bernard enrolled in Medicare?

No. Rebekah Bernard has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Does Rebekah Bernard hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2114898) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rebekah Bernard was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.