Individual provider Active NPI

Lindsey M. Berson, NP-C

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1609185107
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60871306 Issued in WA
Practice address
19005 SE 34TH St
Vancouver, WA 98683-1450
Phone
(360) 726-6720
Fax
(360) 726-6729
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209008333 IL
Family Nurse Practitioner 363LF0000X AP60871306 WA Primary

Addresses

Primary practice location

19005 SE 34TH St
Vancouver, WA 98683-1450

Mailing address

19005 SE 34TH St
Vancouver, WA 98683-1450
Phone (360) 726-6720

Other names 1

  • Lindsey M. Mueller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190618003087 WA Practitioner - Nurse Practitioner 8022298595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209008333ILMDFamily Nurse Practitioner
AP60871306WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Apr 29, 2019 Accepting new patients
Sea Mar Community Health Centers Family CurrentSince Apr 29, 2019 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients

Locations

233 2nd Ave S
Kent, WA 98032
Phone (206) 436-6380

19005 SE 34th St
Vancouver, WA 98683
Phone (360) 726-6720

19005 SE 34th St
Bldg 3
Vancouver, WA 98683
Phone (206) 474-2001

7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402

Interoperability endpoints

  • Direct secure messaging: lberson450234@direct.multicare.org

Organizations & group practices 3

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1609185107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19005 SE 34TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831450",
            "telephone_number": "360-726-6720",
            "fax_number": "360-726-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19005 SE 34TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831450",
            "telephone_number": "360-726-6720",
            "fax_number": "360-726-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSON",
        "first_name": "LINDSEY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60871306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "MUELLER",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.