Individual provider Active NPI

Berlin Rebecca Beiriger, PA-C

  • Physician Assistant
  • Del Norte, CO
National Provider Identifier
1609624337
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009257 Issued in CO
Practice address
310 County Road 14
Del Norte, CO 81132-8758
Phone
(719) 657-2510
NPI assigned
May 8, 2024
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0009257 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

310 County Road 14
Del Norte, CO 81132-8758

Mailing address

310 County Road 14
Del Norte, CO 81132-8758
Phone (719) 657-2510

Other practice location 1

13001 E. 17th Place Aurora
Room E7019 Mail Stop F543
Aurora, CO 80045
Phone (303) 724-7963

Other names 1

  • Berlin Rebecca Van Ness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250709002603 CO Practitioner - Physician Assistant 6204340466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1033 2ND Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0009257COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Jun 2, 2025 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Past Accepting new patients
Valley Citizens' Foundation for Health Care Inc Past Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

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

Hospital & facility affiliations 5

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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1609624337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328758",
            "telephone_number": "719-657-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328758",
            "telephone_number": "719-657-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E. 17th Place Aurora",
            "address_2": "Room E7019 Mail Stop F543",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80045",
            "country_code": "US",
            "telephone_number": "303-724-7963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIRIGER",
        "first_name": "BERLIN",
        "middle_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009257",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERLIN",
            "last_name": "VAN NESS",
            "middle_name": "REBECCA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Del Norte, CO

Sources for this page

Verify at the official NPI Registry.