Stephenie Kathleen Vanden Berge, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001903 Issued in SD

Practice address

2355 Dakota Ave S
Huron, SD 57350-4334

Phone

(605) 554-2273

NPI assigned

Dec 11, 2020

Last updated

Dec 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 SD

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

Merit-based Incentive Payment System (MIPS)

Final score

61.99 of 100Reported as group

Quality

31.99

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.04 of 100Reported as apm

Quality

89.99

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4

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.

• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Medicare reassignment NPD
• American Advanced Practice Network, P.C.

  • Nurse Practitioner
  • Watertown, SD
  • NPI 1790244341
  NPD
• Huron Laboratory SVC PC

  • Anatomic Pathology Physician
  • Huron, SD
  • NPI 1437155744
  NPD
• Huron Regional Medical Center, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Huron, SD
  • NPI 1407918063
  NPD
• T & L Quick Care PC

  • Acute Care Nurse Practitioner
  • Watertown, SD
  • NPI 1437650751
  NPD
• Women's Wellness Center, Prof. L.L.C.

  • Clinic/Center
  • Huron, SD
  • NPI 1598051708
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1275139495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DAKOTA AVE S",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573504334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DAKOTA AVE S",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573504334",
            "telephone_number": "605-554-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN BERGE",
        "first_name": "STEPHENIE",
        "middle_name": "KATHLEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Reflections Counseling, LLC
• Lois I Truh, MD
• Tschetter & Hohm Clinic, P.C.
• Cynthia Renee Upchurch, ATR-BC, LPC
• Douglas Dale Van Marel, MD
• Tyler Vanwyhe
• Marcia Vellek
• Violet Tschetter Memorial Home
• Wager Family Chiropractic
• Timothy Wager

• Family Nurse Practitioner in Huron, SD
• Providers in Huron, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.