BERNARD H AGNEW FNP
NPI 1679514392
Nurse Practitioner - Family in Kingsland, GA
About Bernard H Agnew Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERNARD H AGNEW FNP (NPI 1679514392) is an individual family provider in Kingsland, Georgia, licensed in Georgia (RN283456) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bernard H Agnew Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Bernard Agnew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Wheaton, MD 20902
- Reassigned Medicare billing, Maryland enrollment
- 289 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 31548 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 3
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 Bernard Agnew's NPI number?
The NPI number for Bernard Agnew is 1679514392. It was assigned to this individual provider in the NPPES registry on June 10, 2006.
Where is Bernard Agnew located?
Bernard Agnew practices at 1481 Hwy 40 E, Kingsland, GA 31548. The listed phone number is (860) 287-0738.
What is Bernard Agnew's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bernard Agnew enrolled in Medicare?
Yes. Bernard Agnew is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bernard Agnew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bernard Agnew reassigns Medicare benefits to 2 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA) and Medstar Urgent Care, LLC (Wheaton, MD). Each 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 Bernard Agnew'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 Bernard Agnew was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bernard H Agnew, FNP · NPI 1679514392
Family physician in Kingsland, Georgia. Individual provider, active in the CMS NPPES registry since June 10, 2006.
## Identity
- **NPI:** 1679514392 (Entity type: Individual)
- **Enumerated:** June 10, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN283456 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1481 HWY 40 E, Kingsland, GA 31548-6507
- **Phone:** (860) 287-0738
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); Medstar Urgent Care, LLC (NPI 1871843409, Wheaton, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679514392) · Data from the CMS NPPES public registry.