Individual provider Active NPI

Jason Berman, CRNP

  • Nurse Practitioner
  • Elkmont, AL
National Provider Identifier
1013953314
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1087527 Issued in AL
Practice address
25442 Al Highway 127
Elkmont, AL 35620-6608
Phone
(256) 732-3712
Fax
(256) 732-3714
NPI assigned
Jun 22, 2006
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1087527 AL Primary

Addresses

Primary practice location

25442 Al Highway 127
Elkmont, AL 35620-6608

Mailing address

25442 Al Highway 127
Elkmont, AL 35620-6608
Phone (256) 732-3712

Other identifiers 1

IdentifierTypeStateIssuer
1-087527OtherALALABAMA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060907000527 AL Practitioner - Nurse Practitioner 8729082631 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Medical Care, LLCGroup PAC ID 0648273102, 2 clinicians

Practice addresses (Care Compare)

500 Governors Dr SW
Huntsville, AL 35801-5126
Phone (256) 667-3708

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.83 of 100Reported as group
Quality
3.95
Improvement activities
40
Cost
82.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood HB Medical Services LLC Nurse Practitioner CurrentSince Sep 26, 2023 Accepting new patients
Trinity Medical Care, LLC CurrentSince Apr 1, 2021 Accepting new patients
App of Alabama Ed PLLC CurrentSince Mar 23, 2023 Accepting new patients
Northeast Alabama Health Services, Inc. Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

500 Governors Dr SW
Huntsville, AL 35801
Phone (256) 518-9998

Organizations & group practices 5

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

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1013953314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25442 AL HIGHWAY 127",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356206608",
            "telephone_number": "256-732-3712",
            "fax_number": "256-732-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25442 AL HIGHWAY 127",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356206608",
            "telephone_number": "256-732-3712",
            "fax_number": "256-732-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JASON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1087527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1-087527",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkmont, AL

Sources for this page

Verify at the official NPI Registry.