Active NPI
Janice K Berry, APNP
- Nurse Practitioner
- Medford, WI
National Provider Identifier
1366453334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1321
- Practice address
- 143 S Gibson St
Medford, WI 54451-1622 - Phone
- (715) 748-2121
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1321 | WI | Primary |
Addresses
Primary practice location
143 S Gibson St
Medford, WI 54451-1622
Mailing address
3000 Westhill Dr
Suite 303
Wausau, WI 54401-3795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43920300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medical Group, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Wausau, WI
- NPI 1144272089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366453334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 WESTHILL DR",
"address_2": "SUITE 303",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544013795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 S GIBSON ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511622",
"telephone_number": "715-748-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "JANICE",
"middle_name": "K",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "1321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43920300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, WI
- Sheryl Ann Balciar, M.S., CCC-SLP
- Tammi Lynn Barnes, LPN
- Robert Bastle, PHARMD
- Nancy Ann Bellendorf, OTR
- Debra K Berends, RN
- Beyond 20-20 Vision Therapy LLC
- Tiffany Blumenstein, APNP, WHNP-BC
- Body Right Chiropractic SC
- Bone & Joint Clinic S.C. (Bone & Joint Clinic S.C. @ Medford)
- Borealis Wellness Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.