Susan Marie Berg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12716 Issued in MN

Practice address

1411 MN-79
Elbow Lake, MN 56531

Phone

(218) 685-7300

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Waite Park, MN, CCN 247185
• Vivie Home Health Home health agency, Alexandria, MN, CCN 248096
• Prairie Ridge Hospital and Health Services Hospital, Elbow Lake, MN, CCN 241379
• Lake Region Healthcare Corporation Hospital, Fergus Falls, MN, CCN 240052

Merit-based Incentive Payment System (MIPS)

Final score

88.64 of 100Reported as group

Quality

86.84

Promoting interoperability

100

Improvement activities

40

Cost

75.29

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Medicare reassignment
• Lake Region Healthcare Corporation

  • Chiropractor
  • Fergus Falls, MN
  • NPI 1265148480
  NPD
• Lake Region Healthcare Corporation

  • Primary Care Clinic/Center
  • Barnesville, MN
  • NPI 1912899626
  NPD
• Lake Region Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Fergus Falls, MN
  • NPI 1942191119
  NPD

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

• Knute Nelson

  • Home Health Agency
  • Alexandria, MN
  • NPI 1477676229
  Care Compare affiliation
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436
  Care Compare affiliation
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Care Compare affiliation
• Recover Health of Minnesota, Inc.

  • Home Health Agency
  • Waite Park, MN
  • NPI 1841297140
  Care Compare affiliation

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1548746308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 HIGHWAY 79 E",
            "city": "ELBOW LAKE",
            "state": "MN",
            "postal_code": "565314645",
            "telephone_number": "218-685-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MN-79",
            "city": "ELBOW LAKE",
            "state": "MN",
            "postal_code": "56531",
            "telephone_number": "218-685-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Walter Anderson, EDD, LMHC, LPCC, LAD
• Elbow Lake Dental Center, Inc.
• Elbow Lake Dentistry, PLLC
• Eleah Medical Center
• Grant County Social Services
• Grant County Transportation

• Physician Assistant in Elbow Lake, MN
• Providers in Elbow Lake, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.