Individual provider Active NPI

William Patrick Berning

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1558072322
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
420 University Blvd
Indianapolis, IN 46202-5147
Phone
(317) 274-5555
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

420 University Blvd
Indianapolis, IN 46202-5147

Mailing address

408 5TH St NW
Saint Michael, MN 55376-1041
Phone (763) 367-0561

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
I20231012002433 MN Practitioner - Physician Assistant 2961857859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare Health-Paynesville LLCGroup PAC ID 1153555719, 61 clinicians

Practice addresses (Care Compare)

200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3767

Hospital & facility affiliations

  • Centracare - Paynesville Hospital Hospital, Paynesville, MN, CCN 241349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health-Paynesville LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

Interoperability endpoints

  • Direct secure messaging: wberning760668@direct.centracare.com

Organizations & group practices 4

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1558072322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 5TH ST NW",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553761041",
            "telephone_number": "763-367-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 UNIVERSITY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025147",
            "telephone_number": "317-274-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNING",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.