NPIMap

Individual provider Active NPI

John Berlin, FNP

  • Nurse Practitioner
  • Hayward, WI
National Provider Identifier
1689117004
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
172629 Issued in WI
Practice address
15954 Rivers Edge Dr
Hayward, WI 54843-7800
Phone
(715) 634-2541
Fax
(715) 934-5189
NPI assigned
Dec 2, 2016
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 172629 WI Primary

Addresses

Primary practice location

15954 Rivers Edge Dr
Hayward, WI 54843-7800

Mailing address

15954 Rivers Edge Dr
Hayward, WI 54843-7800
Phone (715) 634-2541

Other practice location 1

N10561 Grandview Ln
Ironwood, MI 49938-9622
Phone (906) 932-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 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
I20170222000802 WI Practitioner - Nurse Practitioner 1456635333 Reassigns benefits to 7 organizations
I20240408000916 MI Practitioner - Nurse Practitioner 1456635333 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospital of SuperiorGroup PAC ID 8628964228, 96 clinicians
The Lakes Community Health Center IncGroup PAC ID 0840366654, shared by 13 NPIs, 104 clinicians

Practice addresses (Care Compare)

1180 Chandler Dr
Spooner, WI 54801-2204
Phone (715) 635-2151

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121

15954 Rivers Edge Dr
Hayward, WI 54843-7800
Phone (715) 634-2541

300 Main St W
Ashland, WI 54806-3696
Phone (715) 685-2200

7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001

819 Ash St
Spooner, WI 54801-1201
Phone (715) 635-5303

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Aspirus Palliative Medicine Michi
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172629WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Mary's Hospital of Superior Current Accepting new patients
St. Mary's Duluth Clinic Health System Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince May 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince May 1, 2024 Accepting new patients
Spooner Health System, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jan 1, 2026 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Sep 3, 2019 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Apr 3, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Multiviz Medical Services PC CurrentSince Feb 26, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Past Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

529 Beach 20th St
Ste 1
Far Rockaway, NY 11691
Phone (718) 327-4503

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

1016 Lakeshore Dr
Rice Lake, WI 54868
Phone (715) 234-9101

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1689117004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15954 RIVERS EDGE DR",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437800",
            "telephone_number": "715-634-2541",
            "fax_number": "715-934-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15954 RIVERS EDGE DR",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437800",
            "telephone_number": "715-634-2541",
            "fax_number": "715-934-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N10561 Grandview Ln",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499389622",
            "country_code": "US",
            "telephone_number": "906-932-2525",
            "fax_number": "906-932-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "JOHN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "172629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.