Jennifer Catherine Berman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109245 Issued in FL

Practice address

1595 Pine Ridge Rd # 19
Naples, FL 34109-2127

Phone

(239) 593-0663

Fax

(239) 593-0664

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Collier Boulevard Hma Physician Management LLC

  • Family Medicine Physician
  • Naples, FL
  • NPI 1508098344
  Medicare reassignment

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1932565371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 PINE RIDGE RD # 19",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092127",
            "telephone_number": "239-593-0663",
            "fax_number": "239-593-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 PINE RIDGE RD # 19",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092127",
            "telephone_number": "239-593-0663",
            "fax_number": "239-593-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JENNIFER",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109245",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.berman.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1595 Pine Ridge Rd # 19",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341092127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Joseph Bergtold, D.C
• Matthew Robert Bergtold, D.C., B.S.,F.I.A.M.A
• Berkshire Eye Care ,P.a. (Berkshire Eye Care)
• Jon R Berlie, M.D.
• Berman Physical Therapy LLC
• Mitchell Berman
• Marilys Bermudez Silva
• Aimee Bermudez
• Gustavo Sebastian Bermudez
• Michael Oscar Bermudez

• Medical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.