Individual provider Active NPI

Berit Walters

  • Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1245073808
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
308198 Issued in AZ
Practice address
1343 N Alma School Rd Ste 205
Chandler, AZ 85224-5903
Phone
(480) 963-1853
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 308198 AZ Primary

Addresses

Primary practice location

1343 N Alma School Rd Ste 205
Chandler, AZ 85224-5903

Mailing address

1027 E Hermosa Dr
Tempe, AZ 85282-5504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240718003959 AZ Practitioner - Nurse Practitioner 1456897040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

1343 N Alma School Rd
Suite 205
Chandler, AZ 85224-5903
Phone (480) 963-1853

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308198AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenician Medical Center, Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

1343 N Alma School Rd
Chandler, AZ 85224
Phone (623) 572-4545

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

16515 S 40th St
Ste 139
Phoenix, AZ 85048
Phone (480) 706-0174

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1245073808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E HERMOSA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD STE 205",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245903",
            "telephone_number": "480-963-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BERIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "308198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.