Individual provider Active NPI

Jason L Berreman, ARNP C

  • Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1225149073
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP300061DS Issued in WA
Practice address
3810 Kern Way
Suite D
Yakima, WA 98902-7805
Phone
(509) 248-4303
Fax
(509) 469-2441
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN00133747 WA
Nurse Practitioner 363L00000X AP300061DS WA Primary

Addresses

Primary practice location

3810 Kern Way
Suite D
Yakima, WA 98902-7805

Mailing address

3810 Kern Way
Suite D
Yakima, WA 98902-7805
Phone (509) 248-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100316000570 WA Practitioner - Nurse Practitioner 6406981497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Berreman, Arnp, PSGroup PAC ID 7315072303, 3 clinicians

Practice addresses (Care Compare)

3810 Kern Way
Suite D
Yakima, WA 98902-7805
Phone (509) 494-2912

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
92.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP300061DSWAMDNurse Practitioner
RN00133747WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Berreman, Arnp, PS CurrentSince Feb 12, 2010 Accepting new patients
Stephen William Doggett, M.D. PA PastSince Feb 12, 2010 Accepting new patients
Yakima Valley Dermatology Inc. , PS Past Accepting new patients

Locations

3810 Kern Rd
Ste D
Yakima, WA 98902
Phone (509) 248-4303

Organizations & group practices 3

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1225149073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 KERN WAY",
            "address_2": "SUITE D",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027805",
            "telephone_number": "509-248-4303",
            "fax_number": "509-469-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 KERN WAY",
            "address_2": "SUITE D",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027805",
            "telephone_number": "509-248-4303",
            "fax_number": "509-469-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERREMAN",
        "first_name": "JASON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "ARNP C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN00133747",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP300061DS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.