Kristina Lee Berg, DNP
Individual provider Active NPI Family Nurse Practitioner · Effingham, IL
NPI 1295280790 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1295280790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209014762 (IL)
- Practice address
- 401 N Mulberry St
Effingham, IL 62401-2009 - Phone
- (618) 553-8684
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anderson Medical Group LLC
Midwest Inpatient Anderson Health Inc
County of Clay
Practice addresses (Care Compare)
159 E McArthur Dr
Bethalto, IL 62010-1918
Phone (618) 258-7504
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131
Hospital & facility affiliations
- Clay County Hospital
- Anderson Hospital
- Good Samaritan Regional HLTH Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828002950 | IL | Practitioner - Nurse Practitioner | 6002188984 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209014762 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clay | Current |
Accepting new patients | |
| Ahs Il Medical Group LLC | Current |
Accepting new patients | |
| Narinder S. Arora, M.D., S.C. | Current |
Accepting new patients | |
| Integritas Emergency Physician Services, LLC | Current |
Accepting new patients | |
| County of Clay | Current |
Accepting new patients | |
| Granite City Hospitalist Services LLC | Current |
Accepting new patients | |
| Statera Health Care, LLC | Current |
Accepting new patients | |
| Midwest Emergency Centralia Campus Associates, Inc | Current |
Accepting new patients | |
| Anderson Medical Group, LLC | Current |
Accepting new patients | |
| Midwest Emergency Good Samaritan, Inc | Current |
Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| Midwest Emergency Anderson Health, Inc | Current |
Accepting new patients | |
| Midwest Inpatient Anderson Health, Inc | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113
159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
1103 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-2273
3417 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-4929
401 N Mulberry St
Effingham, IL 62401
Phone (217) 347-0768
911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161
929 Stacey Burk Dr
Flora, IL 62839
4273 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-2297
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
108 W US Highway 40
Troy, IL 62294
Phone (618) 391-5065
Interoperability endpoints
- krber@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014762 | IL | Yes |
Addresses
Primary practice location
401 N Mulberry St
Effingham, IL 62401-2009
Mailing address
401 N Mulberry St
Effingham, IL 62401-2009
Phone (618) 553-8684
Other providers in Effingham, IL
- Jason L Baxter
- Kaylee Marie Beals
- Cheryl A Beam
- Courtney J Beaumont
- Dorothy Behrns
- Stefani Jane Beverlin
- Amanda Lea Bierman
- Mary Jo Bierman
- Mary Colleen Bingham
- Biomax Rehabilitation Services, Inc
All providers in Effingham, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.