Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Vera Bernik , NP

Nurse Practitioner • Fresno, CA

Active NPI 1396159893 Individual Practitioner Female Practitioner
Practice location in NPPES

6234 N 1st St
Fresno, CA 937105446

Call 5594355727 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6234 N 1st St

Fresno, CA 937105446

Telephone 5594355727
Organization at the Same NPPES Address or Phone
Diego G Allende A Medical Corporation Facility NPI 1033266184

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

1,746 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$16,494 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $521.51 across 9 records.

By nature of payment

  • Food and Beverage: $521.51 across 9 records.

Reporting-company totals (3 largest of 8)

  • ARGENX US, INC.: $124.99 across 1 record.
  • AstraZeneca Pharmaceuticals LP: $124.99 across 1 record.
  • Ardelyx, Inc.: $123.37 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fresno and California

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Fresno, CA (2024, 81 clinicians with data). Median for this group: 518. Middle half: 76 to 1,238.

More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: 248. Middle half: 63 to 852.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Fresno, CA (2024, 81 clinicians with data). Median for this group: $26,390. Middle half: $853 to $258,466.

Close to the middle for clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: $13,982. Middle half: $995 to $121,041.

211 active clinicians are listed under Nurse Practitioner with a practice address in Fresno, CA (8,237 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fresno

10% of these 211 clinicians have the CMS telehealth indicator.

37.4% of these 211 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $521.51.

Manufacturer Payment Nature Product Type Amount ($)
ARGENX US, INC.
Food and Beverage
In-kind items and services
VYVGART General $124.99
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $124.99
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $123.37
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WaveWriter Alpha Prime 16 General $34.28
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Symbravo General $29.12
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $27.00
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Symbravo General $23.66
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $17.46
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $16.64

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 135 7,797 $754.63 44
Metformin Hcl Metformin Hcl 82 4,833 $361.53 30
Lisinopril Lisinopril 68 4,158 $280.14 27
Levothyroxine Sodium Levothyroxine Sodium 60 3,660 $462.93 21
Amlodipine Besylate Amlodipine Besylate 57 3,510 $199.21 21
Albuterol Sulfate Hfa Albuterol Sulfate 41 1,380 $1,633.01 23
Ibuprofen Ibuprofen 40 1,205 $207.19 22
Losartan Potassium Losartan Potassium 37 2,426 $260.06 14
Gabapentin Gabapentin 33 1,390 $589.37 —
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 31 2,070 $294.05 11
Omeprazole Omeprazole 31 1,406 $210.85 14
Metoprolol Succinate Metoprolol Succinate 30 1,890 $400.01 12
Metoprolol Tartrate Metoprolol Tartrate 28 1,232 $95.60 —
Donepezil Hcl Donepezil Hcl 24 780 $95.48 —
Tamsulosin Hcl Tamsulosin Hcl 23 1,350 $282.59 —
Meclizine Hcl Meclizine Hcl 21 630 $131.92 —
Azithromycin Azithromycin 20 100 $55.78 19
Carvedilol Carvedilol 20 1,380 $130.98 —
Hydrochlorothiazide Hydrochlorothiazide 20 1,016 $21.09 —
Pioglitazone Hcl Pioglitazone Hcl 20 960 $263.33 —
Ventolin Hfa Albuterol Sulfate 20 504 $1,123.20 —
Fluticasone Propionate Fluticasone Propionate 17 1,080 $195.07 —
Montelukast Sodium Montelukast Sodium 17 990 $213.65 —
Naproxen Naproxen 17 539 $97.46 —
Rosuvastatin Calcium Rosuvastatin Calcium 17 810 $371.21 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA 13761

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Diego Allende , DO

Family Medicine

NPI 1568789097

Doctor of Osteopathic Medicine (D.O.)

Ani Bznouni , FNP-C

Nurse Practitioner - Family

NPI 1841803905

Family Nurse Practitioner (Certified)

Beatriz Castro , FNP-C

Nurse Practitioner - Family

NPI 1265006738

Family Nurse Practitioner (Certified)

Nimool Garcia , FNP

Nurse Practitioner - Family

NPI 1730660341

Family Nurse Practitioner

Career & Practice History

NPI enumerated June 12, 2014.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1396159893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2014
Last Update: June 12, 2014
Sole Proprietor: Yes

Other Nurse Practitioners in Fresno

All Nurse Practitioners in Fresno

Mailing Address

6234 N 1st St

Fresno, CA 937105446

Phone: 5594355727

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.