NPIMap

Individual provider Active NPI

Randi Kirsten Berg, M.D.

  • Family Medicine Physician
  • Harmony, MN
National Provider Identifier
1598769150
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52745 Issued in MN
Practice address
805 Main Ave S
Harmony, MN 55939-6625
Phone
(507) 886-8888
NPI assigned
Jun 10, 2005
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33589 IA
Family Medicine Physician 207Q00000X 52745 MN Primary
Family Medicine Physician 207Q00000X 54634 WI

Addresses

Primary practice location

805 Main Ave S
Harmony, MN 55939-6625

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041202000848 IA Practitioner - Family Practice 3375441694 Reassigns benefits to 1 organization
I20110322000969 MN Practitioner - Family Practice 3375441694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gundersen Clinic LTDGroup PAC ID 9638082779, 422 clinicians

Practice addresses (Care Compare)

123 SE 5TH Ave
Spring Grove, MN 55974-1318
Phone (507) 498-3302

125 5TH Ave SE
Spring Grove, MN 55974-1318
Phone (507) 498-3211

511 E Maple St
Houston, MN 55943-9219
Phone (507) 896-6000

805 S Main Ave
Harmony, MN 55939-6625
Phone (507) 886-8888

815 Main Ave S
Harmony, MN 55939-6625
Phone (507) 886-6544

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33589IAMDFamily Medicine Physician
52745MNMDFamily Medicine Physician
54634WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Jan 1, 2011 Accepting new patients
Gundersen Clinic LTD CurrentSince Jan 1, 2011 Accepting new patients
Gundersen Lutheran Medical Center, Inc. Family Medicine Past Accepting new patients
Harmony Community Healthcare, Inc Past Accepting new patients
Tweeten Lutheran Healthcare Center, Inc Past Accepting new patients

Locations

901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911

114 Fisher Ave
Ossian, IA 52161
Phone (563) 532-9440

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

805 Main Ave S
Harmony, MN 55939
Phone (507) 886-8888

331 S 3rd St
La Crescent, MN 55947
Phone (507) 895-6610

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: rberg20695@direct.emplifyhealth.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gundersen Harmony Care CenterHarmony, MN, CCN 245528 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Gundersen Tweeten Care CenterSpring Grove, MN, CCN 245429 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Apr 11, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1598769150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MAIN AVE S",
            "city": "HARMONY",
            "state": "MN",
            "postal_code": "559396625",
            "telephone_number": "507-886-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "RANDI",
        "middle_name": "KIRSTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33589",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52745",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "54634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harmony, MN

Sources for this page

Verify at the official NPI Registry.