Jill Ann Berk, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN02604 Issued in RI

Practice address

19 Friendship St Unit 340
Newport, RI 02840-2200

Phone

(401) 845-4340

Fax

(401) 845-4349

NPI assigned

Mar 24, 2014

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newport County Community Mental Health Center, Inc.Group PAC ID 9830089812, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Newport County Community Mental Health Center, Inc

  dba Newport Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, RI
  • NPI 1093713174
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1821415225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST UNIT 340",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402200",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST UNIT 340",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402200",
            "telephone_number": "401-845-4340",
            "fax_number": "401-845-4349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Tower Hill Road",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "02852",
            "country_code": "US",
            "telephone_number": "401-235-7000",
            "fax_number": "401-767-9177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Tower Hill Road",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "02852",
            "country_code": "US",
            "telephone_number": "401-235-7000",
            "fax_number": "401-767-9177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Swansea Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "MA",
            "postal_code": "027774114",
            "country_code": "US",
            "telephone_number": "508-675-5640",
            "fax_number": "508-674-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERK",
        "first_name": "JILL ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN01489",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2264605",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN01489",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02604",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN41471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gay B. Ben Tre, D.AC., R.N.
• Richard Robert Bender, DDS
• Diana Bentham-Lowe, LCDP
• Tracy Benway, P.T.
• Carl Erik Bergeson, APRN
• Joseph Michael Biagioni
• Lyla Blake-Gumbs, MD
• Wendy A Boivin, M.S. L.M.F.T.
• Sudhir Bolar, MD
• Jennah Bolton

• Psychiatric/Mental Health Nurse Practitioner in Newport, RI
• Providers in Newport, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.