Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922699164 Individual Practitioner Female Practitioner

Kimberly Jo Bernacki

Nurse Practitioner • Granville, OH

Professional Overview & Biography Verified Profile Summary

Kimberly Bernacki is a registered healthcare professional specializing in Nurse Practitioner in Granville, OH. Practice services are available at 905 RIVER RD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

905 River Rd Ste A

Granville, OH 430239560

Telephone 7409488141
Fax 7403793672

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Granville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Granville, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH F12200807

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1003146564

LISWS

Amena Feasel , MSW

Social Worker - Clinical

NPI 1013078245

Master of Social Work

Debbie Dickson , LISW

Social Worker - Clinical

NPI 1982718128

Licensed Independent Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 16, 2026

Registered at 905 RIVER RD STE A, GRANVILLE, OH 430239560 (Tel: 7409488141)

📍
Updated Business Mailing Address April 16, 2026

Registered at 905 RIVER RD STE A, GRANVILLE, OH 430239560 (Tel: 7409488141)

NPI Profile Active January 31, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2021

Registered at 76 PHILIPPS GLEN DRIVE, GRANVILLE, OH 43023 (Tel: 6145814847)

📍
Updated Business Mailing Address January 31, 2021

Registered at 76 PHILIPPS GLEN DRIVE, GRANVILLE, OH 43023 (Tel: 6145814847)

👤
Provider Name / Credentials Updated January 31, 2021

Recorded as KIMBERLY BERNACKI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2021

Nurse Practitioner (License #F12200807 in OH)

🟢
Initial NPI Registration & Enumeration January 31, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922699164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2021
Last Update: April 16, 2026
Sole Proprietor: No

Mailing Address

905 River Rd Ste A

Granville, OH 430239560

Phone: 7409488141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.