Individual provider Active NPI

Nancy K Berley, M.D.

  • Family Medicine Physician
  • Worcester, MA
National Provider Identifier
1922074194
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226285 Issued in MA
Practice address
102 Shore Dr
Suite 403
Worcester, MA 01605-3154
Phone
(508) 852-5230
Fax
(508) 842-1402
NPI assigned
Feb 27, 2006
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226285 MA Primary

Addresses

Primary practice location

102 Shore Dr
Suite 403
Worcester, MA 01605-3154

Mailing address

102 Shore Dr
Suite 403
Worcester, MA 01605-3154
Phone (508) 852-5230

Other identifiers 1

IdentifierTypeStateIssuer
2110334MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050824000677 MA Practitioner - Family Practice 5890726376 Reassigns benefits to 1 organization
I20230809003681 FL Practitioner - Family Practice 5890726376 Reassigns benefits to 1 organization
I20240725002719 CA Practitioner - Family Practice 5890726376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sah Telemedicine - California PCGroup PAC ID 3375085863, 3 clinicians
Sah Telemedicine PCGroup PAC ID 0446596993, 4 clinicians

Practice addresses (Care Compare)

2108 N St
Sacramento, CA 95816-5712
Phone (929) 998-3626

2630 W Broward Blvd
Suite 203 768
Fort Lauderdale, FL 33312-1314
Phone (413) 438-3626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226285MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Family Medicine CurrentSince Sep 9, 2008 Accepting new patients
Sah Telemedicine PC CurrentSince Jul 1, 2023 Accepting new patients
Sah Telemedicine - California PC CurrentSince May 13, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. Past Accepting new patients

Locations

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

2630 W Broward Blvd
Ste 203768
Ft Lauderdale, FL 33312
Phone (413) 438-3626

102 Shore Dr
Ste 403
Worcester, MA 01605
Phone (508) 852-5230

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

565 Plandome Rd
Plandome, NY 11030
Phone (208) 918-0972

Interoperability endpoints

  • Direct secure messaging: nancy.berley.1@17983.direct.athenahealth.com
  • Direct secure messaging: nancy.berley.npi1922074194.reliant@direct.optumcare.masshiway.net

Organizations & group practices 4

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1922074194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SHORE DR",
            "address_2": "SUITE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053154",
            "telephone_number": "508-852-5230",
            "fax_number": "508-842-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SHORE DR",
            "address_2": "SUITE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053154",
            "telephone_number": "508-852-5230",
            "fax_number": "508-842-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLEY",
        "first_name": "NANCY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "226285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110334",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.