Active NPI
Mary Charlene Berg, CRNA
- Certified Registered Nurse Anesthetist
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 670102
- Practice address
- 3535 S Interstate 35 E
Denton, TX 76210-6850 - Phone
- (940) 384-3270
- Fax
- (940) 384-4723
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Neurological Surgery Physician
- Southlake, TX
- NPI 1629082995
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1891151478
-
- Anesthesiology Physician
- Burleson, TX
- NPI 1477066405
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1588906812
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Physical Medicine & Rehabilitation Physician
- Allen, TX
- NPI 1053798983
-
- Specialist
- Rockwall, TX
- NPI 1609009505
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1750335618
NPD (past) NURSE ANESTHETIST, CERTIFIED REGISTERED -
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1912008780
NPD (past) NURSE ANESTHETIST, CERTIFIED REGISTERED
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
Care Compare affiliation Hospital
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthtexas Provider Network
Sound Physicians Anesthesiology of Texas PLLC
Spine Team Texas PA
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431
1545 E Southlake Blvd
Suite 100
Southlake, TX 76092-6465
Phone (817) 442-9300
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
- JPS Health Network
- Baylor Scott and White All Saints Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040408000702 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678566163 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670102 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Valiant Anesthesia Associates, PLLC | Current |
Accepting new patients | |
| Spine Team Texas, PA | Current |
Accepting new patients | |
| Northstar Anesthesia II PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Spine Team Texas, PA | Current |
Accepting new patients | |
| Spine Team Texas PA | Current | Accepting new patients | |
| Sound Physicians Anesthesiology of Texas PLLC | Current |
Accepting new patients | |
| Eagle Anesthesia PLLC | Current |
Accepting new patients | |
| Central Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Presbyterian Hospital of Dallas | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400
3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235
5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235
14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121
3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908
1545 E Southlake Blvd
Ste 100
Southlake, TX 76092
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 670102 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3535 S Interstate 35 E
Denton, TX 76210-6850
Mailing address
PO Box 650426
Dallas, TX 75265-0426
Phone (972) 233-1999
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162756402 | Medicaid | TX |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2009.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1477530871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650426",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650426",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S INTERSTATE 35 E",
"city": "DENTON",
"state": "TX",
"postal_code": "762106850",
"telephone_number": "940-384-3270",
"fax_number": "940-384-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "MARY",
"middle_name": "CHARLENE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "670102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162756402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.