Hannah Gabrielle Bercot
Individual provider Active NPI Registered Dietitian · Fort Wayne, IN
NPI 1164062774 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1164062774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 37003033A (IN)
- Practice address
- 11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730 - Phone
- (260) 266-5700
- Fax
- (260) 266-5910
- NPI assigned
- Jan 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37003033A | IN | Yes |
Addresses
Primary practice location
11108 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other providers in Fort Wayne, IN
- Heather Benson
- Jonathan D Benson
- Sasha K Benson
- Tina Benson
- Jenniter Lynn Beougher
- Danielle Berdahl
- Antonia Berelsman
- Grace Berg
- Jill C. Berg
- Michael Richard Berg
All providers in Fort Wayne, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.