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MIRIAM R. BERG APRN-CNP
NPI 1205312006
Nurse Practitioner in Grove City, OH

Active since July 14, 2018PECOS EnrolledAccepts Medicare Assignment
6024 HOOVER RD STE A, GROVE CITY, OH 43123(614) 627-1880(614) 539-4610 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 26, 2021, Jul 14, 2018 (2 updates tracked since 2018).

About Miriam R. Berg Aprn-cnp NPPES

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

MIRIAM R. BERG APRN-CNP (NPI 1205312006) is an individual nurse practitioner in Grove City, Ohio, licensed in Ohio (APRN.CNP.023750) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205312006
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRIAM R. BERGCredential: APRN-CNP
Location Address6024 HOOVER RD STE AGrove City, OH 43123-8133
Mailing Address775 W Broad St Ste 200Columbus, OH 43222-1471 · (614) 627-1610 · Fax (614) 228-5040
Phone(614) 627-1880
Fax(614) 539-4610
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 14, 2018
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1205312006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.023750
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6024 HOOVER RD STE A, Grove City, OH 43123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. 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 and accepts Medicare assignment

Miriam R. Berg Aprn-cnp 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 ID3678818945
PECOS Enrollment IDI20181214002931
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 Miriam Berg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Carmel Healthproviders Inc
16 mi
Family Medicine
6150 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 157 clinicians in this Medicare group
NPI 1356384143 (614) 546-4400
Mount Carmel Urgent Care
16 mi
Urgent Care
6599 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1528662491 (614) 355-8150

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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 5

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

KENI PATEL MD
Family Medicine
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Franklin County (614) 627-1880
NORAH B LEDYARD D.O.
Pediatrics
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Franklin County (614) 627-1330
JOSHUA THOMAS TADEVICH
Family Medicine
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Franklin County (614) 627-1880
KATHERINE WESTRA MD
Family Medicine
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Franklin County (614) 627-1880
MR. JOSEPH EATON LEMOND FNP-C
Nurse Practitioner (Family)
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Franklin County (614) 627-1880

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 Miriam Berg's NPI number?

The NPI number for Miriam Berg is 1205312006. It was assigned to this individual provider in the NPPES registry on July 14, 2018.

Where is Miriam Berg located?

Miriam Berg practices at 6024 Hoover Rd Ste A, Grove City, OH 43123. The listed phone number is (614) 627-1880.

What is Miriam Berg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Miriam Berg enrolled in Medicare?

Yes. Miriam Berg 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 Miriam Berg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Berg reassigns Medicare benefits to 2 organizations: Mount Carmel Healthproviders Inc (Columbus, OH) and Mount Carmel Urgent Care (Columbus, 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 Miriam Berg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miriam Berg accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Oscar Health Insurance and UnitedHealthcare list Miriam Berg 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 Miriam Berg affiliated with any hospitals?

According to CMS data, Miriam Berg is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Miriam Berg was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.