Active NPI
Jessica Lynn Berg, CRNA
- Certified Registered Nurse Anesthetist
- Garden City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 557728
- Practice address
- 401 E Spruce St
Garden City, KS 67846-5679 - Phone
- (620) 521-2567
- NPI assigned
- Sep 23, 2019
- Last updated
- Sep 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
Enrollment records 3
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- ClarionBelmond Community Hospital
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
| License | State | Type | Specialty |
|---|---|---|---|
| 557728 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Phelps Memorial Health Center | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Belmond Community Hospital | Current | 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.
-
dba Iowa Specialty Hospital- Belmond
- Family Medicine Physician
- Belmond, IA
- NPI 1821122623
-
dba Iowa Specialty Hospital - Belmond
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- Critical Access Hospital
- Clarion, IA
- NPI 1396760153
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
- Critical Access Hospital
- Holdrege, NE
- NPI 1629035936
-
- Certified Registered Nurse Anesthetist
- Holdrege, NE
- NPI 1871528851
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1811415599
KS
-
- Anesthesiology Physician
- Hays, KS
- NPI 1366547333
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iowa Specialty Hospital - Belmond
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
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.