Skye Raelynn Porter Berg, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95019889 Issued in CA

Practice address

505 Parnassus Ave # M-917
San Francisco, CA 94143-2204

Phone

(415) 353-1116

Fax

(415) 353-1990

NPI assigned

Apr 9, 2021

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 identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians

Regents of the University of CaliforniaGroup PAC ID 4284547274, 706 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
• University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 27)

Interoperability endpoints

• Direct secure messaging: sporterberg617164@hisp.ehr.sutterhealth.org

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.

• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1760552343
  Medicare reassignment Care Compare group NPD
• University Anesthesia Medical Group

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1528137296
  Medicare reassignment Care Compare group NPD
• Pulmonary Medicine Associates Medical Group, Inc

  • Pulmonary Disease Physician
  • Sacramento, CA
  • NPI 1407880719
  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment NPD
• UCSF Medical Group Business Services

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1477624104

  Nurse Practitioner

  Medicare reassignment NPD
• University of California San Francisco

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1861578973
  Medicare reassignment NPD
• Willow Brook Critical Care Medical Group, Inc

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1811520224
  Medicare reassignment NPD
• Pulmonary Medicine Associates Sleep Lab Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Sacramento, CA
  • NPI 1255359378
  NPD
• Regents of the Univ of Ca

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1477546406
  NPD
• Regents of the Univ of Ca

  • Trauma Surgery Physician
  • Sacramento, CA
  • NPI 1568455590
  NPD
• Sutter Bay Medical Foundation

  • Clinical Medical Laboratory
  • Santa Clara, CA
  • NPI 1669287033
  NPD

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

• Regents of the University of California

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1710918545
  Care Compare affiliation
• University of California, San Francisco

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1689772592
  Care Compare affiliation

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1508446089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M-917",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1116",
            "fax_number": "415-353-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # M-917",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1116",
            "fax_number": "415-353-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 McClintock Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605270872",
            "country_code": "US",
            "telephone_number": "630-590-2830",
            "fax_number": "630-734-4715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958166039",
            "country_code": "US",
            "telephone_number": "916-887-1310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Medical Plaza Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612867",
            "country_code": "US",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER BERG",
        "first_name": "SKYE",
        "middle_name": "RAELYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95223197",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "95019889",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CA",
            "license": "95019889",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211IMAA",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkowalski@innovativeventures.com",
            "affiliation": "N",
            "endpointDescription": "HR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 McClintock Dr Ste 202",
            "city": "Burr Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605270872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paula Andrea Porras Rodriguez, MD
• Daisy Porres-Flores
• Anthony A. Portale, M.D.
• Cameron Isaiah Portee
• Sima Prabodh Porten, M.D
• Kimberly Ann Porter-Leite, MFT
• Amber Dawn Porter, ASW
• Carnetta Andrea Porter, PSY. D.
• Denisse Aurora Porter, FNP
• Elizabeth Ann Porter, CD

• Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nurse Practitioner in California

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