NPIMap

Individual provider Active NPI

Jennifer Michelle Berg Stepp, MD

  • Family Medicine Physician
  • Laveen, AZ
National Provider Identifier
1083235592
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68123 Issued in AZ
Practice address
17487 S Healthcare Dr
Laveen, AZ 85339-8500
Phone
(520) 694-8888
Fax
(520) 694-1640
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 68123 AZ Primary
Family Medicine Physician 207Q00000X R77940 AZ

Addresses

Primary practice location

17487 S Healthcare Dr
Laveen, AZ 85339-8500

Mailing address

17487 S Healthcare Dr
Laveen, AZ 85339-8500
Phone (520) 550-6000

Other names 1

  • Jennifer Michelle Berg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108003859 TX Practitioner - Family Practice 8123440070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17487 S Health Care Dr
Hu Hu Kam Memorial Hospital
Laveen, AZ 85339-0038
Phone (520) 550-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68123AZMDFamily Medicine Physician
R77940AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Oct 12, 2023 Accepting new patients
Gila River Health Care Corporation CurrentSince Oct 12, 2023 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

Organizations & group practices 4

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 3

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1083235592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17487 S HEALTHCARE DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398500",
            "telephone_number": "520-550-6000",
            "fax_number": "520-550-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17487 S HEALTHCARE DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398500",
            "telephone_number": "520-694-8888",
            "fax_number": "520-694-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPP",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE BERG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "68123",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R77940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERG",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.