Individual provider Active NPI

Wendy S Berger, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1427119387
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
093006702N5 Issued in OR
Practice address
2800 N Vancouver Ave Ste 255
Portland, OR 97227
Phone
(503) 413-2215
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 093006702N5 OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave Ste 255
Portland, OR 97227

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice location 1

2705 E Burnside St
Suite 114
Portland, OR 97214-1763
Phone (503) 215-6262

Other identifiers 1

IdentifierTypeStateIssuer
130281MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000816 OR Practitioner - Certified Nurse Midwife (CNM) 2961630330 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Feb 23, 2015 Accepting new patients
Silverton Health Advanced Practice Midwife CurrentSince Mar 26, 2020 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Mar 26, 2020 Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients

Locations

2800 N Vancouver Ave
Portland, OR 97227
Phone (503) 413-4340

2800 N Vancouver Ave
Ste 255
Portland, OR 97227
Phone (503) 413-4500

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 120
Portland, OR 97210
Phone (503) 229-7353

2800 N Vancouver Ave
Ste 231
Portland, OR 97227
Phone (503) 413-2750

475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Interoperability endpoints

  • Direct secure messaging: wberger15389@direct.lhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1427119387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE STE 255",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97227",
            "telephone_number": "503-413-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 E Burnside St",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141763",
            "country_code": "US",
            "telephone_number": "503-215-6262",
            "fax_number": "503-234-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "093006702N5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130281",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.