Individual provider Active NPI

Sarah Anne Berg, MSN, RN, PMHNP-BS

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamestown, ND
National Provider Identifier
1679382402
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201608 Issued in ND
Practice address
2605 Circle Dr
Jamestown, ND 58401-6905
Phone
(701) 770-2595
NPI assigned
Jan 6, 2025
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201608 ND Primary

Addresses

Primary practice location

2605 Circle Dr
Jamestown, ND 58401-6905

Mailing address

214 5TH Ave
Nortonville, ND 58454-4125
Phone (701) 770-2595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20250414001113 ND Practitioner - Nurse Practitioner 5799209516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dakota State HospitalGroup PAC ID 5698734374, 9 clinicians

Practice addresses (Care Compare)

2605 Circle Dr
Jamestown, ND 58401-6905
Phone (701) 253-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Dakota State Hospital CurrentSince Feb 10, 2025 Accepting new patients

Locations

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

2605 Circle Dr
Jamestown, ND 58401
Phone (701) 253-3650

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1679382402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 5TH AVE",
            "city": "NORTONVILLE",
            "state": "ND",
            "postal_code": "584544125",
            "telephone_number": "701-770-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CIRCLE DR",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016905",
            "telephone_number": "701-770-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "MSN, RN, PMHNP-BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "201608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.