KATHERINE MALLORY BERNARD CRNP
NPI 1548892334
Nurse Practitioner - Acute Care in Philadelphia, PA
About Katherine Mallory Bernard Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE MALLORY BERNARD CRNP (NPI 1548892334) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021490) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Mallory Bernard Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Bernard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 60 clinicians in this Medicare group
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 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Katherine Bernard's NPI number?
The NPI number for Katherine Bernard is 1548892334. It was assigned to this individual provider in the NPPES registry on February 10, 2020.
Where is Katherine Bernard located?
Katherine Bernard practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (267) 408-4905.
What is Katherine Bernard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Katherine Bernard enrolled in Medicare?
Yes. Katherine Bernard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Bernard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Bernard reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Bernard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katherine Bernard was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Katherine Mallory Bernard, CRNP · NPI 1548892334
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 10, 2020.
## Identity
- **NPI:** 1548892334 (Entity type: Individual)
- **Enumerated:** February 10, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP021490 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (267) 408-4905
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1831443142, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1548892334) · Data from the CMS NPPES public registry.