Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bernadette Avila

Individual provider Physician Assistant · NPI 1023624608

Bernadette Avila is a Physician Assistant in Potsdam, New York. Qualified in 2021, 5 years ago. Practices with Canton-Potsdam Hospital, a 239-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020

Practice location Address checks out

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone: (315) 261-5550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027698 (NY)

Record details

NPI number1023624608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2020
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address50 Leroy St, Potsdam, NY 13676-1786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Canton-Potsdam Hospital — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Potsdam