Individual provider Active NPI

Liz Damaris Vicente Berrios, DNP-FNP -CNP

  • Family Nurse Practitioner
  • Saint Cloud, MN
National Provider Identifier
1538033295
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13465 Issued in MN
Practice address
1301 33Rd St S
Saint Cloud, MN 56301-9604
Phone
(320) 251-8181
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 13465 MN Primary

Addresses

Primary practice location

1301 33Rd St S
Saint Cloud, MN 56301-9604

Mailing address

4010 Clearwater Rd Apt 204
Saint Cloud, MN 56301-9680
Phone (320) 529-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20251029001585 MN Practitioner - Nurse Practitioner 5496244550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
Aslan Health, PCGroup PAC ID 9133665201, 2 clinicians

Practice addresses (Care Compare)

1301 33Rd St S
St Cloud, MN 56301-9668
Phone (320) 251-8181

1400 W Saint Germain St
Saint Cloud, MN 56301-4101
Phone (320) 297-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13465MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic CurrentSince Oct 1, 2025 Accepting new patients
Aslan Health, PC CurrentSince Dec 1, 2025 Accepting new patients
Centracare Clinic CurrentSince Oct 1, 2025 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

1301 33rd St S
Saint Cloud, MN 56301
Phone (320) 240-6955

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1400 W Saint Germain St
Saint Cloud, MN 56301
Phone (320) 259-1405

Interoperability endpoints

  • Direct secure messaging: lvicente888901@direct.centracare.com

Organizations & group practices 5

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": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1538033295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 CLEARWATER RD APT 204",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019680",
            "telephone_number": "320-529-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 33RD ST S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019604",
            "telephone_number": "320-251-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE BERRIOS",
        "first_name": "LIZ",
        "middle_name": "DAMARIS",
        "credential": "DNP-FNP -CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "13465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.