Elena Berry, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

280124 Issued in AZ

Practice address

222 S Mill Ave Ste 123
Tempe, AZ 85281-6481

Phone

(888) 663-6331

Fax

(415) 252-7176

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Elena Shalon Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Omg Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1184014854
  Medicare reassignment NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1417486465
  NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1619376456
  NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Arvada, CO
  • NPI 1760867428
  NPD
• One Medical Group of Arizona, PC

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1962807297
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1497486518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MILL AVE STE 123",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816481",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ELENA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "293053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "280124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F06220676",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "280124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "SHALON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Bernaciak, DMD
• Jenna Bernal, CPNP-PC
• Mirella Lorraine Bernal, LAC
• Attoria Berry, RBT
• Carolyn Berry
• Lauren Berry, MT-BC
• Omar Berry, RBT
• Sharli Berry, LPC
• Trevor Sean Berry, D.C., D.A.C.N.B.
• Tanner John Berschel

• Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.