Individual provider Active NPI

Alex Mitchell Berns, DNP FNP-C

  • Family Nurse Practitioner
  • Waukon, IA
National Provider Identifier
1881313096
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A170675 Issued in IA
Practice address
105 E Main St
Waukon, IA 52172-1735
Phone
(563) 568-5530
NPI assigned
Aug 23, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A170675 IA Primary

Addresses

Primary practice location

105 E Main St
Waukon, IA 52172-1735

Mailing address

105 E Main St
Waukon, IA 52172-1735
Phone (563) 568-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221018000218 IA Practitioner - Nurse Practitioner 7214303163 Reassigns benefits to 2 organizations
I20250211000780 WI Practitioner - Nurse Practitioner 7214303163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Memorial Hospital City of Waukon IaGroup PAC ID 1355230293, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

105 E Main St
Waukon, IA 52172-1735
Phone (563) 568-5530

40 1St St SE
Waukon, IA 52172-2022
Phone 5635683411524

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A170675IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Sep 27, 2022 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Sep 27, 2022 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Feb 1, 2025 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Feb 1, 2025 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

105 E Main St
Waukon, IA 52172
Phone (319) 568-3449

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • Direct secure messaging: aberns926876@direct.emplifyhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1881313096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721735",
            "telephone_number": "563-568-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721735",
            "telephone_number": "563-568-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNS",
        "first_name": "ALEX",
        "middle_name": "MITCHELL",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A170675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

Verify at the official NPI Registry.