Individual provider Active NPI

Katharyn Elizabeth Joy Berger, PA

  • Physician Assistant
  • San Marcos, TX
National Provider Identifier
1013569284
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12895 Issued in TX
Practice address
1290 Wonder World Dr Ste 1100
San Marcos, TX 78666-7969
Phone
(512) 393-3325
Fax
(512) 393-3328
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12895 TX Primary

Addresses

Primary practice location

1290 Wonder World Dr Ste 1100
San Marcos, TX 78666-7969

Mailing address

1290 Wonder World Dr Ste 1100
San Marcos, TX 78666-7969
Phone (512) 393-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806003902 TX Practitioner - Physician Assistant 9032446539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians
Lone Star Extensivists PLLCGroup PAC ID 3971036427, 10 clinicians
Inpatient Medicine Physicians PAGroup PAC ID 7911009055, 16 clinicians

Practice addresses (Care Compare)

1900 Scenic Dr
Georgetown, TX 78626-7876

201 FM
Wimberley, TX 78676-2119
Phone (512) 396-5603

29924 FM
Suite 3009
New Braunfels, TX 78132-2637
Phone (830) 620-0330

4100 Everett St
Suite 100
Kyle, TX 78640-6316
Phone (512) 623-5300

Hospital & facility affiliations

  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12895TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

1251 Sadler Dr
Ste 2
San Marcos, TX 78666
Phone (512) 396-5623

1251 Sadler Dr
Ste 2100
San Marcos, TX 78666
Phone (512) 396-5623

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1013569284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 WONDER WORLD DR STE 1100",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667969",
            "telephone_number": "512-393-3325",
            "fax_number": "512-393-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WONDER WORLD DR STE 1100",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667969",
            "telephone_number": "512-393-3325",
            "fax_number": "512-393-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "KATHARYN",
        "middle_name": "ELIZABETH JOY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.