Individual provider Active NPI

Diane M Berkey, CRNA

  • Certified Registered Nurse Anesthetist
  • Mason City, IA
National Provider Identifier
1881676534
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D061074 Issued in IA
Practice address
1410 6TH St SW
Mason City, IA 50401-4818
Phone
(641) 424-6704
Fax
(641) 424-6709
NPI assigned
Nov 17, 2005
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 061074 IA
Certified Registered Nurse Anesthetist 367500000X D061074 IA Primary
Certified Registered Nurse Anesthetist 367500000X 045177 IL

Addresses

Primary practice location

1410 6TH St SW
Mason City, IA 50401-4818

Mailing address

1112 N Jefferson Ave
Mason City, IA 50401-2034
Phone (641) 424-6704

Other identifiers 1

IdentifierTypeStateIssuer
1881676534MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210414002539 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688669047 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In Somno Securitas a Professional Nursing CorporationGroup PAC ID 6709271356, 15 clinicians

Practice addresses (Care Compare)

950 Butte St
Redding, CA 96001-0827
Phone (530) 223-2500

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
59.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
00640IAMDPhysical Therapy Assistant
061074IAMDCertified Registered Nurse Anesthetist
045177ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
Baec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
In Somno Securitas a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Mar 31, 2025 Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation CurrentSince Jan 1, 2024 Accepting new patients
Sda Services of Ca CurrentSince May 1, 2024 Accepting new patients
Medical Center Anesthesiologists, P.C. PastSince Oct 6, 2019 Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients
Anesthesia West, P.C. Past Accepting new patients
Medical Center Anesthesiologists, P.C. Nurse Anesthetist, Certified Registered PastSince Oct 6, 2019 Accepting new patients
North Iowa Anesthesia Associates PC PastSince Jan 18, 2010 Accepting new patients
Escnc LLC PastSince Sep 8, 2024 Accepting new patients
Marshalltown Anesthesiologists PLC PastSince Oct 1, 2009 Accepting new patients

Locations

20400 Lake Chabot Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 538-9900

20998 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-2828

5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

901 Campus Dr
Ste 102
Daly City, CA 94015
Phone (650) 991-2000

950 Butte St
Redding, CA 96001
Phone (530) 223-2500

1386 Lead Hill Blvd
Ste 130
Roseville, CA 95661
Phone (916) 527-8921

1160 Post St
San Francisco, CA 94109
Phone (415) 440-1100

1160 Post St
Ste 102
San Francisco, CA 94109

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

711 Van Ness Ave
Ste 230
San Francisco, CA 94102
Phone (415) 393-1225

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

Organizations & group practices 12

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1881676534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N JEFFERSON AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012034",
            "telephone_number": "641-424-6704",
            "fax_number": "641-424-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014818",
            "telephone_number": "641-424-6704",
            "fax_number": "641-424-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKEY",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "061074",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D061074",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "045177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881676534",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.