Individual provider Active NPI

Lisbeth K Berge, MD

  • General Practice Physician
  • Anchorage, AK
National Provider Identifier
1992773691
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
3927 Issued in AK
Practice address
3801 University Way Dr.
Suite 301
Anchorage, AK 99508
Phone
(907) 777-1850
Fax
(907) 777-1800
NPI assigned
Mar 9, 2006
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3927 AK
General Practice Physician 208D00000X 3927 AK Primary

Addresses

Primary practice location

3801 University Way Dr.
Suite 301
Anchorage, AK 99508

Mailing address

3801 University Lake Dr Ste 301
Anchorage, AK 99508-4658
Phone (907) 777-1850

Other practice location 1

2211 E Northern Lights Blvd
Anchorage, AK 99508-4129
Phone (907) 279-8486

Other identifiers 3

IdentifierTypeStateIssuer
152556OtherAKMCARE
3927OtherAKAK STATE MEDICAL LICENSE
MD03282MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisbeth.berge@afmanchorage.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000604 AK Practitioner - General Practice 6002999729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Nevada School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arete Family Care LLCGroup PAC ID 0446653117, 11 clinicians

Practice addresses (Care Compare)

3801 University Lake Dr
Suite 301
Anchorage, AK 99508-4642
Phone (907) 777-1850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3927AKMDAddiction (Substance Use Disorder) Counselor
3297AKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Center for Pediatrics, LLC CurrentSince Oct 16, 2019 Accepting new patients
Arete Family Care LLC Family Medicine CurrentSince May 5, 2021 Accepting new patients

Locations

2741 Debarr Rd
Ste C307
Anchorage, AK 99508
Phone (907) 646-8500

2925 Debarr Rd
Ste 230
Anchorage, AK 99508
Phone (907) 777-1800

3801 University Lake Dr
Ste 301
Anchorage, AK 99508
Phone (907) 777-1850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24116/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/9493/brand/2/csg/1/fhir/r4
  • Direct secure messaging: lisbeth.berge.1@24116.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1992773691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084658",
            "telephone_number": "907-777-1850",
            "fax_number": "855-468-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY WAY DR.",
            "address_2": "SUITE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-777-1850",
            "fax_number": "907-777-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 E Northern Lights Blvd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084129",
            "country_code": "US",
            "telephone_number": "907-279-8486",
            "fax_number": "907-257-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGE",
        "first_name": "LISBETH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3927",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AK",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "152556",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK STATE MEDICAL LICENSE",
            "identifier": "3927",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD03282",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisbeth.berge@afmanchorage.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "3801 University Way Dr.",
            "address_2": "Suite 301",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.