Guiselle Berry, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1080427 Issued in TX

Practice address

3667 County Road 2134 Ste C
Caddo Mills, TX 75135-6897

Phone

(903) 751-5550

Fax

(833) 973-3638

NPI assigned

May 23, 2022

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Family Care and Wellness, LLCGroup PAC ID 1456895432, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: guiselle.berry.1@31805.direct.athenahealth.com

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.

• Revive Family Care & Wellness LLC

  • Family Nurse Practitioner
  • Caddo Mills, TX
  • NPI 1447001003
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Foot Specialists, PLLC

  • Podiatrist
  • Greenville, TX
  • NPI 1578921672
  NPD (past)
• East Texas Medical Center Healthcare Associates

  dba First Physicians

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1124062484
  NPD (past)
• Sparks Clinic PA

  • Family Medicine Physician
  • Rockwall, TX
  • NPI 1841214467
  NPD (past)
• Summit Health Urgent Care PLLC

  dba Prime Choice Family Clinic Urgent Care

  • Primary Care Clinic/Center
  • Frisco, TX
  • NPI 1376004655
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hunt Memorial Hospital District

  dba Hunt Regional

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1184362964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3667 COUNTY ROAD 2134 STE C",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751356897",
            "telephone_number": "903-751-5550",
            "fax_number": "833-973-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 COUNTY ROAD 2134 STE C",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751356897",
            "telephone_number": "903-751-5550",
            "fax_number": "833-973-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "GUISELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1080427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Care LLC
• Laura Belmonte, BCBA
• Caressa Blackman, CTRS
• Monica Booker, FNP
• Sharon Gene Bramlett
• Katherine Bynum, DDS
• Caddo Mills Isd

• Family Nurse Practitioner in Caddo Mills, TX
• Providers in Caddo Mills, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.