Individual provider Active NPI

Elizabeth L Berg, ARNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1427058692
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3213092 Issued in FL
Practice address
1717 N E St Ste 434
Pensacola, FL 32501-6338
Phone
(850) 484-6500
Fax
(850) 857-1747
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 ARNP3213092 FL Primary

Addresses

Primary practice location

1717 N E St Ste 434
Pensacola, FL 32501-6338

Mailing address

1717 N E St
Suite 331
Pensacola, FL 32501-6339
Phone (850) 484-6500

Other practice location 1

1717 N E St
Suite 434
Pensacola, FL 32501-6339
Phone (850) 484-6500

Other identifiers 2

IdentifierTypeStateIssuer
304856000MedicaidFL
131203MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090508000185 FL Practitioner - Nurse Practitioner 8820146475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1118 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7801

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Infectious Diseases Associates of Northwest Florida PA Past Accepting new patients

Locations

8888 Navarre Pkwy
Navarre, FL 32566
Phone (850) 437-8800

125 Baptist Way
Ste 3A
Pensacola, FL 32503
Phone (448) 227-6500

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

1717 N E St
Ste 434
Pensacola, FL 32501
Phone (850) 430-7101

1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081

1717 N E St
Ste 333
Pensacola, FL 32501

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1427058692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 331",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-484-6500",
            "fax_number": "850-857-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST STE 434",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016338",
            "telephone_number": "850-484-6500",
            "fax_number": "850-857-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N E St",
            "address_2": "Suite 434",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016339",
            "country_code": "US",
            "telephone_number": "850-484-6500",
            "fax_number": "850-857-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3213092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304856000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131203",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.