Individual provider Active NPI

Lesleigh Berg, APRN, NP-C

  • Family Nurse Practitioner
  • Cambridge, OH
National Provider Identifier
1831560747
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027657 Issued in OH
Practice address
841 Steubenville Ave
Cambridge, OH 43725-2301
Phone
(855) 692-7247
Fax
(855) 692-7247
NPI assigned
Oct 19, 2015
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027657 OH Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.306938 OH

Addresses

Primary practice location

841 Steubenville Ave
Cambridge, OH 43725-2301

Mailing address

841 Steubenville Ave
Cambridge, OH 43725-2301
Phone (855) 692-7247

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.0027657MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cambridge Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210224002757 OH Practitioner - Nurse Practitioner 9537574587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Ridge Behavioral Health Solutions LLCGroup PAC ID 5698927432, 7 clinicians

Practice addresses (Care Compare)

841 Steubenville Ave
Cambridge, OH 43725-2301
Phone (855) 692-7247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.306938OHMDPsychiatric/Mental Health Registered Nurse
APRN.CNP.0027657OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Behavioral Health Solutions LLC CurrentSince Nov 24, 2020 Accepting new patients
Cedar Ridge Behavioral Health Solutions PastSince Oct 4, 2020 Accepting new patients

Locations

841 Steubenville Ave
Cambridge, OH 43725
Phone (855) 962-7247

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1831560747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252301",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 STEUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252301",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "LESLEIGH",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027657",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.306938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APRN.CNP.0027657",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cambridge",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "841 Steubenville Ave",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437252301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.