Individual Healthcare Provider
Megan L Bermudez, FNP-C, MSN, MBA
Provider's NPPES record last updated: November 4, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104377506
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Avondale, Arizona
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:10 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(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.
Taxonomy code 363L00000X
Provider-Reported License Information
- Nurse Practitioner (Arizona)
- AP9010
- Nurse Practitioner (Arizona)
- RN138725
Practice Locations
Practice Location
3125 N Dysart Rd
Avondale, Arizona 85392-1208
Phone: (623) 882-9161
Additional Practice Location
8710 W Morten Ave
Glendale, Arizona 85305-3945
Phone: (623) 414-7625
Fax: (916) 244-3578
Additional Practice Location
14050 N 83rd Ave Ste 290
Peoria, Arizona 85381-5650
Phone: (623) 414-7625
Fax: (916) 244-3578
Additional Practice Location
13065 W Mcdowell Rd Ste B108
Avondale, Arizona 85392-6442
Phone: (623) 512-4320
Additional Practice Location
4611 E Shea Blvd Ste 190
Phoenix, Arizona 85028-4259
Phone: (480) 889-0180
Fax: (480) 889-0186
Record Information
- Enumeration Date
- October 20, 2016
- Provider's NPPES Record Last Updated
- November 4, 2025
- Certification Date
- November 4, 2025
- NPISignal NPPES Dataset
- August 2026
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