Individual provider Active NPI

Hannah Sumnyr Berg, FNP

  • Family Nurse Practitioner
  • Decatur, TX
National Provider Identifier
1750117743
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1177520 Issued in TX
Practice address
1705 S FM 51 Ste 107
Decatur, TX 76234-3646
Phone
(258) 094-0230
Fax
(940) 900-0575
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 851911 TX
Family Nurse Practitioner 363LF0000X 1177520 TX Primary

Addresses

Primary practice location

1705 S FM 51 Ste 107
Decatur, TX 76234-3646

Mailing address

1705 S FM 51 Ste 107
Decatur, TX 76234-3646
Phone (940) 230-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241024004368 TX Practitioner - Nurse Practitioner 5294268512 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
Premier Independent Physicians Group IncGroup PAC ID 3375819535, 39 clinicians

Practice addresses (Care Compare)

1001 W Eagle Dr
Decatur, TX 76234-3745
Phone (940) 627-7443

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Decatur, TX, CCN 457786
  • Medical City Denton Hospital, Denton, TX, CCN 450634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
851911TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Leeroy McCurley MD PA Current Accepting new patients
Premier Independent Physicians Group, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Pilot Point Family Practice Management Inc. Past Accepting new patients
North Texas Arrhythmia Associates PA Past Accepting new patients

Locations

1001 W Eagle Dr
Decatur, TX 76234
Phone (940) 627-7440

1512 Teasley Ln
Denton, TX 76205
Phone (940) 566-5010

315 Westpark Way
Euless, TX 76040
Phone (817) 267-0550

309 Westpark Way
Ste 309
Euless, TX 76040

3121 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (214) 649-4686

1820 N Lake Forest Dr
Ste 300
McKinney, TX 75071
Phone (214) 491-5606

4201 Medical Center Dr
Ste 300
McKinney, TX 75069
Phone (214) 427-5853

1246 S Highway 377
Ste C
Pilot Point, TX 76258
Phone (940) 686-2254

Interoperability endpoints

  • Direct secure messaging: hannah.berg@4668404203524.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1750117743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S FM 51 STE 107",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343646",
            "telephone_number": "940-230-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S FM 51 STE 107",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343646",
            "telephone_number": "258-094-0230",
            "fax_number": "940-900-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "HANNAH",
        "middle_name": "SUMNYR",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "851911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.