Individual provider Active NPI

Debra Ann Berger, NP-C

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1508107087
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60340456 Issued in WA
Practice address
560 Gage Blvd Ste 102
Richland, WA 99352-9531
Phone
(509) 942-3135
Fax
(509) 627-1188
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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 AP60340456 WA Primary

Addresses

Primary practice location

560 Gage Blvd Ste 102
Richland, WA 99352-9531

Mailing address

560 Gage Blvd Ste 102
Richland, WA 99352-9531
Phone (509) 942-3135

Other practice location 1

15214 Canyon Rd E
Puyallup, WA 98375-7472
Phone (253) 539-4200

Other practice location 2

5920 100th St SW
Suite 31
Lakewood, WA 98499-2751
Phone (253) 584-3023

Other identifiers 1

IdentifierTypeStateIssuer
2077458MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dberger507217@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130530000609 WA Practitioner - Nurse Practitioner 6507004652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

560 Gage Blvd
Suite 102
Richland, WA 99352-9531
Phone (509) 942-3135

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60340456WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Arcadian Telepsychiatry LLC PastSince Apr 1, 2013 Accepting new patients

Locations

1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

Interoperability endpoints

  • Direct secure messaging: dberger507217@fhsce.catholichealth.net

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1508107087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529531",
            "telephone_number": "509-942-3135",
            "fax_number": "509-627-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529531",
            "telephone_number": "509-942-3135",
            "fax_number": "509-627-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15214 Canyon Rd E",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983757472",
            "country_code": "US",
            "telephone_number": "253-539-4200",
            "fax_number": "253-539-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5920 100th St SW",
            "address_2": "Suite 31",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992751",
            "country_code": "US",
            "telephone_number": "253-584-3023",
            "fax_number": "253-582-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60340456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077458",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dberger507217@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15214 Canyon Rd E",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983757472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.