Active NPI
Elizabeth Ugino Berry, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 21012
- Practice address
- 5 Richland Medical Park Dr
Columbia, SC 29203-6863 - Phone
- (803) 434-7000
- NPI assigned
- Jun 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 219519 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 21012 | SC | Primary |
Addresses
Primary practice location
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Mailing address
5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171030001756 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951677384 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-6151
67 Creekside Park CT
Greenville, SC 29615-4810
Phone (864) 522-3700
Hospital & facility affiliations
- Prisma Health Richland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219519 | SC | MD | Critical Care Medicine Registered Nurse |
| 21012 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Midlands | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
400 Palmetto Health Pkwy
Ste 2137
Columbia, SC 29212
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
Organizations & group practices 13
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.
-
- Health Educator
- Greenville, SC
- NPI 1114542081
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1881098945
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1154770790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036863",
"telephone_number": "803-434-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "ELIZABETH",
"middle_name": "UGINO",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-05",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "SC",
"license": "219519",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "21012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.