Individual provider Active NPI

Bernadette Ann Nyberg, FNP

  • Family Nurse Practitioner
  • Billings, MT
National Provider Identifier
1912297607
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-104884 Issued in MT
Practice address
1125 Broadwater Ave
Billings, MT 59102-5412
Phone
(406) 534-4558
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 NUR-APRN-LIC-104884 MT Primary
Family Nurse Practitioner 363LF0000X 201150031NP OR

Addresses

Primary practice location

1125 Broadwater Ave
Billings, MT 59102-5412

Mailing address

17 N 26TH St
Billings, MT 59101-2303
Phone (406) 534-4558

Other practice location 1

1020 N 27th St
Billings, MT 59101-0760
Phone (406) 238-5046

Other identifiers 1

IdentifierTypeStateIssuer
500646280MedicaidOR

Other names 1

  • Ms. Bernadette Ann Turk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250117000942 MT Order and Referring Only - Nurse Practitioner 4183801921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-104884MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Development Corporation CurrentSince Mar 20, 2025 Accepting new patients

Locations

17 N 26th St
Billings, MT 59101

1125 Broadwater Ave
Billings, MT 59102
Phone (406) 534-4558

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1912297607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N 26TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591012303",
            "telephone_number": "406-534-4558",
            "fax_number": "406-281-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591025412",
            "telephone_number": "406-534-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 N 27th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010760",
            "country_code": "US",
            "telephone_number": "406-238-5046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "BERNADETTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-104884",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201150031NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500646280",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "TURK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.