KRISTINA LEE BERG DNP
NPI 1295280790
Nurse Practitioner - Family in Effingham, IL

Q: What is Kristina Berg's NPI number?

The NPI number for Kristina Berg is 1295280790. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Q: What is Kristina Berg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Berg was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 25, 2016PECOS EnrolledAccepts Medicare Assignment

401 N MULBERRY ST, EFFINGHAM, IL 62401(618) 553-8684 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2024, Jul 12, 2021, Aug 25, 2016 (3 updates tracked since 2016).

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About Kristina Lee Berg Dnp NPPES

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

KRISTINA LEE BERG DNP (NPI 1295280790) is an individual family provider in Effingham, Illinois, licensed in Illinois (209014762) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295280790

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTINA LEE BERGCredential: DNP

Location Address401 N MULBERRY STEffingham, IL 62401-2009

Mailing Address401 N Mulberry StEffingham, IL 62401-2009 · (618) 553-8684

Phone(618) 553-8684

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 25, 2016

Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration

NPPES CertifiedOctober 30, 2024

✔ NPI 1295280790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209014762

401 N MULBERRY ST, Effingham, IL 62401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Kristina Lee Berg Dnp 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 ID6002188984

PECOS Enrollment IDI20170828002950

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

Medicare enrollment records show Kristina Berg reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Narinder S. Arora, M.D., S.C.

Same address

Internal Medicine

401 N MULBERRY ST
Effingham, IL 62401

Reassigned Medicare billing, Illinois enrollment
3 clinicians in this Medicare group

NPI 1760496590 (217) 347-0768

County Of Clay

31 mi

Critical Access

911 STACEY BURK DR
Flora, IL 62839

Reassigned Medicare billing, Illinois enrollment
65 clinicians in this Medicare group

NPI 1184655136 (618) 662-2131

Midwest Emergency Centralia Campus Associates, Inc

51 mi

Emergency Medicine

400 NORTH PLEASANT AVENUE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
69 clinicians in this Medicare group

NPI 1396034245 (817) 451-4208

Midwest Emergency Good Samaritan, Inc

59 mi

Emergency Medicine

605 N 12TH ST
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
81 clinicians in this Medicare group

NPI 1629367578 (817) 451-4208

Midwest Emergency Anderson Health, Inc

67 mi

Emergency Medicine

400 N CALDWELL ST
Staunton, IL 62088

Reassigned Medicare billing, Illinois enrollment
121 clinicians in this Medicare group

NPI 1710647615 (618) 635-2200

Anderson Medical Group, LLC

80 mi

General Practice

6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
145 clinicians in this Medicare group

NPI 1700807716 (618) 288-5711

Midwest Inpatient Anderson Health, Inc

80 mi

Emergency Medicine

6800 IL 162
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
124 clinicians in this Medicare group

NPI 1821758608 (618) 288-5711

Ahs Il Medical Group LLC

91 mi

Clinic/Center

2100 MADISON AVE
Granite City, IL 62040

Reassigned Medicare billing, Illinois enrollment
107 clinicians in this Medicare group

NPI 1659098101 (818) 666-0602

Statera Health Care, LLC

97 mi

Emergency Medicine

100 DR WARREN TUTTLE DR
Harrisburg, IL 62946

Reassigned Medicare billing, Illinois enrollment
169 clinicians in this Medicare group

NPI 1043874449 (618) 833-1691

Granite City Hospitalist Services LLC

101 mi

Hospitalist

2250 N ILLINOIS AVE
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
88 clinicians in this Medicare group

NPI 1669926424 (618) 833-1691

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 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.

185 services116 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

45 services41 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

22 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

92%24 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

25%61 patients2/55-star benchmark: 85%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%395 patients5/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%34 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

59%322 patients3/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

57%186 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%322 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

9%322 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

18%322 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

NARINDER S. ARORA M.D.

Internal Medicine