NPIMap

Individual provider Active NPI

Elizabeth A Berger, PA-C

  • Physician Assistant
  • Great Bend, KS
National Provider Identifier
1962059873
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02477 Issued in KS
Practice address
204 Cleveland St
Great Bend, KS 67530-3563
Phone
(620) 792-5511
Fax
(620) 792-5977
NPI assigned
Aug 25, 2019
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02477 KS Primary

Addresses

Primary practice location

204 Cleveland St
Great Bend, KS 67530-3563

Mailing address

PO Box 256
Salina, KS 67402-0256
Phone (785) 823-0633

Other practice location 1

730 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-1141

Other practice location 2

410 E Spruce St
Garden City, KS 67846-5659
Phone (620) 272-2579

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.berger@cccancer.ikm.drect-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210609002314 KS Practitioner - Physician Assistant 9234539438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Care PAGroup PAC ID 7911801014, 15 clinicians

Practice addresses (Care Compare)

204 Cleveland St
Great Bend, KS 67530-3563
Phone (620) 792-5511

730 Medical Ctr Dr
Newton, KS 67114-8778
Phone (316) 283-1141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as group
Quality
66.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Care PA CurrentSince May 25, 2021 Accepting new patients
Central Care, PA CurrentSince May 25, 2021 Accepting new patients
Central Care, PA Past Accepting new patients

Locations

410 E Spruce St
Garden City, KS 67846
Phone (620) 272-2102

204 Cleveland St
Great Bend, KS 67530
Phone (620) 792-5511

730 Medical Center Dr
Newton, KS 67114
Phone (316) 283-1141

2337 E Crawford St
Salina, KS 67401
Phone (785) 823-0633

Interoperability endpoints

  • Direct secure messaging: elizabeth.berger@cccancer.ikm.direct-ci.com
  • Direct secure messaging: elizabeth.berger@cccancer.ikm.drect-ci.com

Organizations & group practices 3

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 9

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": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1962059873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674020256",
            "telephone_number": "785-823-0633",
            "fax_number": "844-854-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CLEVELAND ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303563",
            "telephone_number": "620-792-5511",
            "fax_number": "620-792-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671148778",
            "country_code": "US",
            "telephone_number": "316-283-1141",
            "fax_number": "316-283-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465659",
            "country_code": "US",
            "telephone_number": "620-272-2579",
            "fax_number": "620-272-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.berger@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "204 Cleveland St",
            "city": "Great Bend",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675303563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.