Individual provider Active NPI

Miriam R. Berg, APRN-CNP

  • Nurse Practitioner
  • Grove City, OH
National Provider Identifier
1205312006
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.023750 Issued in OH
Practice address
6024 Hoover Rd Ste a
Grove City, OH 43123-8133
Phone
(614) 627-1880
Fax
(614) 539-4610
NPI assigned
Jul 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.023750 OH Primary

Addresses

Primary practice location

6024 Hoover Rd Ste a
Grove City, OH 43123-8133

Mailing address

775 W Broad St Ste 200
Columbus, OH 43222-1471
Phone (614) 627-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20181214002931 OH Practitioner - Nurse Practitioner 3678818945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Urgent Care CurrentSince Dec 24, 2025 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Aug 15, 2022 Accepting new patients
Mount Carmel Urgent Care CurrentSince Dec 24, 2025 Accepting new patients
Mount Carmel Healthproviders Inc CurrentSince Aug 15, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3100 Easton Square Pl
Ste 300
Columbus, OH 43219
Phone (614) 546-4651

775 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 627-1610

6599 E Broad St
Columbus, OH 43213
Phone (614) 355-8150

6024 Hoover Rd
Ste A
Grove City, OH 43123
Phone (614) 777-5700

3000 Meadow Pond Ct
Ste 200
Grove City, OH 43123
Phone (614) 871-7130

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: mberg1981651@direct.trinity-health.org

Organizations & group practices 5

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 2

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": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1205312006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 W BROAD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221471",
            "telephone_number": "614-627-1610",
            "fax_number": "614-228-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 HOOVER RD STE A",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238133",
            "telephone_number": "614-627-1880",
            "fax_number": "614-539-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "MIRIAM",
        "middle_name": "R.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.