Active NPI
Amber Marie Berge, APNP
- Nurse Practitioner
- Madison, WI
National Provider Identifier
1366197808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11776
- Practice address
- 1821 S Stoughton Rd
Madison, WI 53716-2257 - Phone
- (608) 260-6000
- Fax
- (608) 260-6451
- NPI assigned
- Feb 14, 2022
- Last updated
- Apr 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11776 | WI | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | F10210963 | WI |
Addresses
Primary practice location
1821 S Stoughton Rd
Madison, WI 53716-2257
Mailing address
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366197808 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | aberge271300@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11776 | WI | MD | Physical Therapist |
| F10210963 | WI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients |
Locations
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- aberge271300@direct-ehr-ssmhc.com
Organizations & group practices 2
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.
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fitchburg, WI
- NPI 1861503534
-
- Home Health Agency
- Madison, WI
- NPI 1275686404
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
dba SSM Health St. Mary's Hospital-Madison
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
dba McFarland Urgent Care
- Urgent Care Clinic/Center
- McFarland, WI
- NPI 1477146082
Hospital
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1366197808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 S STOUGHTON RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537162257",
"telephone_number": "608-260-6000",
"fax_number": "608-260-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 S STOUGHTON RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537162257",
"telephone_number": "608-260-6000",
"fax_number": "608-260-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGE",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-14",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "11776",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WI",
"license": "F10210963",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366197808",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aberge271300@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "aberge271300@direct-ehr-ssmhc.com",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.