Active NPI
Mark Berger, NP
- Family Nurse Practitioner
- Caldwell, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP1691A
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1215337 | Other | ID | AANP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP1691A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Health, Inc. | Current | Accepting new patients | |
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Valley Family Health Care Inc | Current | Accepting new patients | |
| Full Circle Health, Inc. | Current | Accepting new patients | |
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Valley Family Health Care, Inc | Current | 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.
-
dba Full Circle Health
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1841490075
-
- Federally Qualified Health Center (FQHC)
- Payette, ID
- NPI 1407886484
-
dba Valley Family Health Care Women and Children Clinic
- Federally Qualified Health Center (FQHC)
- Ontario, OR
- NPI 1295415032
-
dba Full Circle Health Pharmacy Caldwell
- Community/Retail Pharmacy
- Caldwell, ID
- NPI 1164267373
-
- Federally Qualified Health Center (FQHC)
- Emmett, ID
- NPI 1932139995
-
- Federally Qualified Health Center (FQHC)
- Ontario, OR
- NPI 1992732291
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middleton, ID
- NPI 1609818483
-
dba West Valley Medical Center
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.