Individual provider Active NPI

Ann-Marie H Berg, C..P.N.P.

  • Pediatric Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1790769552
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C-095353 Issued in IA
Practice address
411 10TH St SE
Suite 150
Cedar Rapids, IA 52403-2442
Phone
(319) 363-3600
Fax
(319) 363-9971
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C-095353 IA Primary

Addresses

Primary practice location

411 10TH St SE
Suite 150
Cedar Rapids, IA 52403-2442

Mailing address

411 10TH St SE
Suite 150
Cedar Rapids, IA 52403-2442
Phone (319) 363-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170329001017 IA Practitioner - Nurse Practitioner 6800171182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-095353IAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Mar 21, 2017 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

411 10th St SE
Ste 150
Cedar Rapids, IA 52403
Phone (319) 363-3600

1231 Park Pl NE
Cedar Rapids, IA 52402
Phone (319) 363-3600

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

Interoperability endpoints

  • Direct secure messaging: aberg101764@uihcdirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790769552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 10TH ST SE",
            "address_2": "SUITE 150",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032442",
            "telephone_number": "319-363-3600",
            "fax_number": "319-363-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 10TH ST SE",
            "address_2": "SUITE 150",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032442",
            "telephone_number": "319-363-3600",
            "fax_number": "319-363-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ANN-MARIE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "C..P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-095353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.