Individual provider Active NPI

Anna Maria Berka, NP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1497520555
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10018664 Issued in OR
Practice address
3105 SW Maricara St
Portland, OR 97219-6905
Phone
(971) 336-3388
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10018664 OR Primary

Addresses

Primary practice location

3105 SW Maricara St
Portland, OR 97219-6905

Mailing address

3105 SW Maricara St
Portland, OR 97219-6905
Phone (971) 336-3388

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001317 OR Practitioner - Nurse Practitioner 7719330851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquis Clinical Services LLCGroup PAC ID 2860827821, 24 clinicians

Practice addresses (Care Compare)

4560 SE International Way
Suite 100
Milwaukie, OR 97222-4628
Phone (971) 206-5164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marquis Clinical Services LLC Family CurrentSince Mar 1, 2024 Accepting new patients
Hpa Medical Management, LLC CurrentSince Nov 20, 2023 Accepting new patients
Hpa Medical Management, LLC CurrentSince Nov 20, 2023 Accepting new patients

Locations

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

11481 SW Hall Blvd
Ste 200
Tigard, OR 97223
Phone (503) 639-0600

6303 Cowboys Way
Ste 600
Frisco, TX 75034

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.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1497520555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 SW MARICARA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196905",
            "telephone_number": "971-336-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 SW MARICARA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196905",
            "telephone_number": "971-336-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKA",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10018664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.