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SUSAN BERGER CNP
NPI 1063804631
Nurse Practitioner - Psychiatric/Mental Health in Springfield, OH

Active since February 19, 2015PECOS Enrolled
4867 URBANA RD, SPRINGFIELD, OH 45502(937) 563-4901(937) 381-6975 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Berger Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN BERGER CNP (NPI 1063804631) is an individual psychiatric/mental health provider in Springfield, Ohio, licensed in Ohio (16818) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063804631
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN BERGERCredential: CNP
Location Address4867 URBANA RDSpringfield, OH 45502-9815
Mailing Address4867 Urbana RdSpringfield, OH 45502-9815 · (937) 563-4901 · Fax (937) 381-6975
Phone(937) 563-4901
Fax(937) 381-6975
Sole ProprietorNo
Enumeration DateFebruary 19, 2015
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1063804631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 16818
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 16818 (OH)
4867 URBANA RD, Springfield, OH 45502
Open in Google Maps ↗

Other Identifiers 1

Other2024004361OH · Ancc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Berger Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Berger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Springfield Specialty Care LLC
4.7 mi
Surgery
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1790308104 (888) 696-3541
Third Street Community Clinic Inc
53 mi
Federally Qualified Health Center (FQHC)
320 EXECUTIVE DR
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 52 clinicians in this Medicare group
NPI 1861170565 (419) 522-6191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE WEIMER CDCA
Counselor (Addiction (Substance Use Disorder))
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 931-5315
MR. DION STEVENS PEER SUPPORT
Peer Specialist
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 717-5843
CONTEMPORARY THERAPEUTICS LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 717-5843
REASONABLE CHOICES INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 717-5843
NATASHA LIAS APRN, FNP-C
Nurse Practitioner (Family)
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 563-4901
ANDREA TRIPLETT FNP-C
Nurse Practitioner (Primary Care)
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 563-4901
MARK II ENT., LTD
Durable Medical Equipment & Medical Supplies
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 323-5764
JEFFREY BLAINE RANDALL CDCA
Counselor (Addiction (Substance Use Disorder))
4867 URBANA RD
SPRINGFIELD, OH 45502
Clark County (937) 971-7358

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Berger's NPI number?

The NPI number for Susan Berger is 1063804631. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Susan Berger located?

Susan Berger practices at 4867 Urbana Rd, Springfield, OH 45502. The listed phone number is (937) 563-4901.

What is Susan Berger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Berger enrolled in Medicare?

Yes. Susan Berger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Berger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Berger reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH) and Third Street Community Clinic Inc (Marion, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Berger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Berger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Susan Berger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Berger was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.