Cathy L Berens, MSNAPRN
Individual provider Active NPI Nurse Practitioner · Casper, WY
NPI 1164533717 · NPPES record last updated Jul 17, 2013
Key facts
- NPI
- 1164533717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 22143346 (WY)
- Practice address
- 940 East 3Rd Street
Suite 107
Casper, WY 82601-3200 - Phone
- (307) 265-1500
- Fax
- (307) 265-1506
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
915 S David St
Casper, WY 82601-3737
Phone (307) 265-1500
Hospital & facility affiliations
- Banner Wyoming Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060308000469 | WY | Practitioner - Nurse Practitioner | 7113934621 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346 | WY | MD | Physician Assistant |
| 22143346 | WY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cathy Berens, PC | Current |
Accepting new patients | |
| Rocky Mountain Infectious Diseases | Past |
Accepting new patients | |
| Hugh D. Depaolo M.D.P.C. | Past | Accepting new patients |
Locations
940 E 3rd St
Ste 107
Casper, WY 82601
Phone (307) 265-1500
915 S David St
Casper, WY 82601
Phone (307) 265-1500
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/58a432b4-e1e9-4961-babc-ff3b87eb8606/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22143346 | WY | Yes |
Addresses
Primary practice location
940 East 3Rd Street
Suite 107
Casper, WY 82601-3200
Mailing address
940 E 3Rd St
Suite 107
Casper, WY 82601-3237
Phone (307) 265-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313909 | Other | WY | BCBS |
| 113260100 | Medicaid | WY |
Other names
- Cathy L Murphy
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- 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.