MR. ROBERT W BERKS PMHNP
NPI 1124177522
Nurse Practitioner - Psychiatric/Mental Health in Lewiston, ME

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 CAMPUS AVE, SUITE 208, LEWISTON, ME 04240(207) 777-8974(207) 777-8946 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2022, Aug 15, 2018 (2 updates tracked since 2018).

About Mr. Robert W Berks Pmhnp NPPES

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

MR. ROBERT W BERKS PMHNP (NPI 1124177522) is an individual psychiatric/mental health provider in Lewiston, Maine, licensed in Maine (CNP81019) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1124177522
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ROBERT W BERKSCredential: PMHNP
Location Address100 CAMPUS AVE, SUITE 208Lewiston, ME 04240
Mailing AddressPo Box 95000 Lbx 7650Philadelphia, PA 19195-0001
Fax(207) 777-8946
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 9, 2007
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1124177522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · CNP81019
100 CAMPUS AVE, Lewiston, ME 04240

Other Identifiers 1

Medicaid330390099ME

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert W Berks Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082642483
PECOS Enrollment IDI20050727000829
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 Robert Berks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
93 CAMPUS AVE
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: St Marys Regional Medical Center
  • 381 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
57 BIRCH ST STE 102
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 80 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
56 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
100 CAMPUS AVE, SUITE 208
LEWISTON, ME 04240
Psychiatry & Neurology (Psychiatry)
100 CAMPUS AVE, SUITE 208
LEWISTON, ME 04240
Nurse Practitioner (Psychiatric/Mental Health)
100 CAMPUS AVE, SUITE 208
LEWISTON, ME 04240
Pathology (Anatomic Pathology & Clinical Pathology)
100 CAMPUS AVE
LEWISTON, ME 04240
Psychiatry & Neurology (Psychiatry)
100 CAMPUS AVE, SUITE 208
LEWISTON, ME 04240
Psychiatry & Neurology (Psychiatry)
100 CAMPUS AVE, SUITE 208
LEWISTON, ME 04240
Psychiatry & Neurology (Psychiatry)
100 CAMPUS AVE, SUITE 208
LEWISTON, ME 04240
Internal Medicine
100 CAMPUS AVE, SUITE 201
LEWISTON, ME 04240

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 Robert Berks's NPI number?

The NPI number for Robert Berks is 1124177522. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Robert Berks located?

Robert Berks practices at 100 Campus Ave Suite 208, Lewiston, ME 04240. The listed phone number is (207) 777-8974.

What is Robert Berks's specialty?

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

Is Robert Berks enrolled in Medicare?

Yes. Robert Berks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robert Berks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Berks reassigns Medicare benefits to 2 organizations: St. Mary's Regional Medical Center (Lewiston, ME) and Community Clinical Services, Inc. (Lewiston, ME). 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 Robert Berks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Berks accept?

Health plans from Harvard Pilgrim Health Care list Robert Berks 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.

Is Robert Berks affiliated with any hospitals?

According to CMS data, Robert Berks is affiliated with St Mary's Regional Medical Center, Maine General Medical Center, Bridgton Hospital, Concord Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Robert Berks was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.