Individual provider Active NPI

Jessica Lynn Berg, CRNA

  • Certified Registered Nurse Anesthetist
  • Garden City, KS
National Provider Identifier
1891346755
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557728 Issued in KS
Practice address
401 E Spruce St
Garden City, KS 67846-5679
Phone
(620) 521-2567
NPI assigned
Sep 23, 2019
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 557728 KS Primary

Addresses

Primary practice location

401 E Spruce St
Garden City, KS 67846-5679

Mailing address

PO Box 535
La Crosse, KS 67548-0535
Phone (620) 805-9415

Other practice location 1

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (855) 429-7633

Other practice location 2

1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321

Other practice location 3

403 1st St SE
Belmond, IA 50421-1201
Phone (844) 474-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191105000957 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840522231 Reassigns benefits to 1 organization
I20230726002648 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840522231 Reassigns benefits to 2 organizations
I20230921001197 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840522231 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians
Belmond Community HospitalGroup PAC ID 1052201852, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

403 1St St SE
Iowa Specialty Hospital Belmond
Belmond, IA 50421-1201
Phone (641) 444-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
557728KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion CurrentSince Aug 22, 2023 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Aug 22, 2023 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Northwest Kansas Pain & Anesthesia, PA Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

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.

Hospital & facility affiliations 2

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1891346755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675480535",
            "telephone_number": "620-805-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465679",
            "telephone_number": "620-521-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Canterbury Dr",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "855-429-7633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.