Randi Kirsten Berg, M.D.
Individual provider Active NPI Family Medicine Physician · Harmony, MN
NPI 1598769150 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1598769150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 52745 (MN)
- Practice address
- 805 Main Ave S
Harmony, MN 55939-6625 - Phone
- (507) 886-8888
- NPI assigned
- Jun 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- 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 LTD
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
- Aveanna Home Health
- St Croix Hospice
- Gundersen Lutheran Medical Center
- Winnmed
- Gundersen Harmony Care Center
- Tweeten Lutheran Health Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Gundersen Harmony Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Gundersen Tweeten Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Apr 11, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041202000848 | IA | Practitioner - Family Practice | 3375441694 | Reassigns benefits to 1 organization |
| I20110322000969 | MN | Practitioner - Family Practice | 3375441694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33589 | IA | MD | Family Medicine Physician |
| 52745 | MN | MD | Family Medicine Physician |
| 54634 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Clinic LTD | Current |
Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Harmony Community Healthcare, Inc | Past | Accepting new patients | |
| Tweeten Lutheran Healthcare Center, Inc | Past | Accepting new patients | |
| Gundersen Clinic, LTD. | Past | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc. | Family Medicine | 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
- rberg20695@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33589 | IA | |
| Family Medicine Physician | 207Q00000X | 52745 | MN | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148425700 | Medicaid | MN | |
| 1215947 | Medicaid | IA |
Other providers in Harmony, MN
- Ameritus Harmony Opc0 LLC
- Astrup Drug Inc
- Astrup Drug Inc
- City of Harmony
- Melinda Coscarelli-Lutes
- Fillmore Central Schoo
- Gundersen Clinic LTD
- Harmony Community Healthcare, Inc
All providers in Harmony, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.