Individual provider Active NPI

Ariel Nichole Berry, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1801537667
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12292 Issued in NC
Practice address
3024 New Bern Ave Ste 102
Raleigh, NC 27610-1247
Phone
(919) 350-9071
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12292 NC Primary

Addresses

Primary practice location

3024 New Bern Ave Ste 102
Raleigh, NC 27610-1247

Mailing address

837 Oxen Cir
Raleigh, NC 27603-9165
Phone (336) 963-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220906001704 NC Practitioner - Physician Assistant 5294119574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Banks Professional Services, LLCGroup PAC ID 3173652096, 163 clinicians

Practice addresses (Care Compare)

2518 S Croatan Hwy
Unit B
Nags Head, NC 27959
Phone (252) 449-7373

4810 S Croatan Hwy
Suite 200
Nags Head, NC 27959-8504
Phone (252) 449-9120

4810 S Croatan Hwy
Suite 250
Nags Head, NC 27959
Phone (252) 449-9120

4917 S Croatan Hwy
Suite 1B
Nags Head, NC 27959
Phone (252) 255-0583

4927 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 261-0777

Hospital & facility affiliations

  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-12292NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Outer Banks Professional Services, LLC Urology CurrentSince Dec 15, 2023 Accepting new patients
Moye Medical Endoscopy Center LLC Past Accepting new patients

Locations

103 E Mall Dr
#A
Nags Head, NC 27959
Phone (252) 449-5965

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

Interoperability endpoints

  • Direct secure messaging: aberry423100@directhisp.wakemed.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.

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1801537667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 OXEN CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276039165",
            "telephone_number": "336-963-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NEW BERN AVE STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101247",
            "telephone_number": "919-350-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ARIEL",
        "middle_name": "NICHOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.