Individual provider Active NPI

Amy Marie Berry, ANP

  • Adult Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1760690879
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
200350040NP Issued in OR
Practice address
234 NE 136TH Avenue
Suite 100
Vancouver, WA 98684
Phone
(360) 450-6800
Fax
(360) 989-1150
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 200350040NP OR Primary

Addresses

Primary practice location

234 NE 136TH Avenue
Suite 100
Vancouver, WA 98684

Mailing address

234 NE 136TH Avenue
Suite 100
Vancouver, WA 98684
Phone (360) 450-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160526001982 OR Practitioner - Nurse Practitioner 2961792346 Reassigns benefits to 1 organization
I20230925000125 WA Practitioner - Nurse Practitioner 2961792346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michele M Thompson MD LLCGroup PAC ID 8022301878, 2 clinicians

Practice addresses (Care Compare)

234 SE 136TH Ave
Suite 100
Vancouver, WA 98684-6923
Phone (360) 450-6800

3600 N Interstate Ave
Portland, OR 97227-1106
Phone (800) 813-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
73.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200350040NPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manor Care of Salmon Creek Wa, Association CurrentSince Jan 12, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 12, 2026 Accepting new patients
Sapphire at Gresham Rehab, LLC CurrentSince Feb 11, 2026 Accepting new patients
Michele M Thompson MD LLC CurrentSince Sep 6, 2023 Accepting new patients
Mountain West Derm - Blackhart PLLC Past Accepting new patients
Marla Klein, MD LLC PastSince Mar 21, 2016 Accepting new patients

Locations

3600 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

234 SE 136th Ave
Ste 100
Vancouver, WA 98684
Phone (360) 450-6800

Organizations & group practices 7

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 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1760690879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 NE 136TH AVENUE",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-450-6800",
            "fax_number": "360-989-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 NE 136TH AVENUE",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-450-6800",
            "fax_number": "360-989-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200350040NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.