Individual provider Active NPI

Nancy Carol Berg, PAC

  • Medical Physician Assistant
  • Arvada, CO
National Provider Identifier
1811908163
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1183 Issued in CO
Practice address
8020 Lee Dr
Arvada, CO 80005-2078
Phone
(720) 641-4710
Fax
(720) 996-8800
NPI assigned
Aug 11, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1183 CO Primary

Addresses

Primary practice location

8020 Lee Dr
Arvada, CO 80005-2078

Mailing address

8020 Lee Dr
Arvada, CO 80005-2078
Phone (720) 641-4710

Other names 1

  • Nancy Carol Hinsey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2019 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1183COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mandala Care Current Accepting new patients
Pridemark Paramedic Services, LLC Past Accepting new patients

Locations

8020 Lee Dr
Arvada, CO 80005
Phone (303) 422-1755

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1811908163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 LEE DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800052078",
            "telephone_number": "720-641-4710",
            "fax_number": "720-996-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 LEE DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800052078",
            "telephone_number": "720-641-4710",
            "fax_number": "720-996-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "NANCY",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HINSEY",
            "middle_name": "CAROL",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.