Jerry Anne Berg, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06161721 Issued in OH

Practice address

2420 Lake Ave
Ashtabula, OH 44004-4954

Phone

(440) 998-0322

Fax

(440) 998-4525

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashtabula County Medical CenterGroup PAC ID 2668465600, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jberg399330@direct.ccf.org

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.

• Ashtabula County Medical Center

  dba The Ashtabula Clinic

  • Specialist
  • Ashtabula, OH
  • NPI 1942247143
  Medicare reassignment Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Ashok V. Kondru, MD Inc

  • Gastroenterology Physician
  • Ashtabula, OH
  • NPI 1114114790
  NPD (past)

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

• Ashtabula County Medical Center

  dba Ashtabula Regional Medical Center

  • General Acute Care Hospital
  • Ashtabula, OH
  • NPI 1285607416
  Care Compare affiliation

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1467900951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92987",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441943436",
            "telephone_number": "440-997-2262",
            "fax_number": "440-997-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044954",
            "telephone_number": "440-998-0322",
            "fax_number": "440-998-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JERRY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F06161721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saima Begum, M.D.
• Kaci Belak
• Terry W Bellingham, D.C.
• Gariella Bene, MD
• Alaina Benedict, OTR/L
• Brianna Renee Bernard
• Christine Marie Bernato, CNP
• Stephanie Berry
• Bradley Michael Best, RPH
• Better Hearing Centers, Inc.

• Family Nurse Practitioner in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.

Verify at the official NPI Registry.