Active NPI
Dee Ann Berry, CRNA
- Certified Registered Nurse Anesthetist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28182123A
- Practice address
- 500 N Nappanee St
Ste. 11-B
Elkhart, IN 46514-1503 - Phone
- (574) 522-9922
- Fax
- (574) 522-9926
- NPI assigned
- Nov 3, 2010
- Last updated
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28182123A | IN | Primary |
Addresses
Primary practice location
500 N Nappanee St
Ste. 11-B
Elkhart, IN 46514-1503
Mailing address
PO Box 3055
Indianapolis, IN 46206-3055
Phone (317) 567-2180
Other names 1
- Dee Ann Komarnizki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2848 Niles Rd
Suite B
Saint Joseph, MI 49085-3352
Phone (269) 428-3300
301 W Homer St
Franciscian Health Michigan City
Michigan City, IN 46360-4358
Phone (219) 877-1033
3500 Franciscan Way
Franciscian Health Michigan City
Michigan City, IN 46360-0021
Phone (219) 877-8511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28182123A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| La Porte County Anesthesia Associates LLC | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Great Lakes Surgery Center LLC | Past | Accepting new patients | |
| Great Lakes Anesthesia Indiana and Michigan, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
500 N Nappanee St
Ste 11B
Elkhart, IN 46514
301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033
301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
1234 Napier Ave
#32
Saint Joseph, MI 49085
Phone (269) 428-0118
Interoperability endpoints
- dberry93739@direct.franciscanalliance.org
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Michigan City, IN
- NPI 1477553634
-
- Certified Registered Nurse Anesthetist
- Saint Joseph, MI
- NPI 1255781019
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba Corewell Health Lakeland Hospitals (MDPP)
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
dba Spectrum Health Lakeland Anesthesia
- Anesthesiology Physician
- Saint Joseph, MI
- NPI 1598305641
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sturgis, MI
- NPI 1891069605
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Saint Joseph, MI
- NPI 1003273129
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1821399197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3055",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063055",
"telephone_number": "317-567-2180",
"fax_number": "317-567-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N NAPPANEE ST",
"address_2": "STE. 11-B",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141503",
"telephone_number": "574-522-9922",
"fax_number": "574-522-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DEE",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28182123A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEE",
"last_name": "KOMARNIZKI",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.