Individual provider Active NPI

Mark Berger, NP

  • Family Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1023471000
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1691A Issued in ID
Practice address
315 E Elm St # 201
Caldwell, ID 83605-4857
Phone
(208) 514-2528
Fax
(208) 375-2217
NPI assigned
Mar 29, 2016
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201601702NP-PP OR
Family Nurse Practitioner 363LF0000X NP1691A ID Primary

Addresses

Primary practice location

315 E Elm St # 201
Caldwell, ID 83605-4857

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 1

207 E 12th St
Emmett, ID 83617-3626
Phone (208) 365-1065

Other practice location 2

2327 SW 4th Ave
Ontario, OR 97914-1851
Phone (541) 889-2340

Other identifiers 1

IdentifierTypeStateIssuer
F1215337OtherIDAANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160401000913 OR Practitioner - Nurse Practitioner 3971800103 Reassigns benefits to 1 organization
I20181226002451 ID Practitioner - Nurse Practitioner 3971800103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Family Health Care IncGroup PAC ID 0547169591, shared by 8 NPIs, 45 clinicians
Full Circle Health IncGroup PAC ID 6709986797, 106 clinicians

Practice addresses (Care Compare)

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376

207 E 12TH St
Emmett, ID 83617-3626
Phone (208) 365-1065

2327 SW 4TH Ave
Unit 3
Ontario, OR 97914-1851
Phone (541) 889-2340

315 E Elm St
Suite 201
Caldwell, ID 83605-4857
Phone (208) 514-2528

896 Fortner St
Ontario, OR 97914-1787
Phone (541) 881-2828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1691AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Health, Inc. CurrentSince Nov 7, 2025 Accepting new patients
Valley Family Health Care, Inc Current Accepting new patients
Valley Family Health Care Inc CurrentSince Aug 22, 2018 Accepting new patients
Full Circle Health, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Valley Family Health Care, Inc CurrentSince Apr 13, 2016 Accepting new patients
Valley Family Health Care, Inc CurrentSince Apr 13, 2016 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525

6565 W Emerald St
Boise, ID 83704
Phone (208) 377-5055

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

315 E Elm St
#201
Caldwell, ID 83605
Phone (208) 514-2528

315 E Elm St
Ste 201
Caldwell, ID 83605
Phone (208) 514-2528

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

2275 S Eagle Rd
Ste 120
Meridian, ID 83642
Phone (208) 514-2520

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

2327 SW 4th Ave
Ontario, OR 97914
Phone (541) 889-0052

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

Organizations & group practices 7

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1023471000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ELM ST # 201",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054857",
            "telephone_number": "208-514-2528",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Emmett",
            "state": "ID",
            "postal_code": "836173626",
            "country_code": "US",
            "telephone_number": "208-365-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2327 SW 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979141851",
            "country_code": "US",
            "telephone_number": "541-889-2340",
            "fax_number": "541-889-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MARK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201601702NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1691A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F1215337",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.