1. Home
  2. Directory
  3. Washington
  4. Bonney Lake
  5. Nurse Practitioner
  6. NPI Profile

ADRIENNE ANN BERG ARNP
NPI 1437040896
Nurse Practitioner in Bonney Lake, WA

Active since July 14, 2025PECOS EnrolledAccepts Medicare Assignment
10004 204TH AVE E, BONNEY LAKE, WA 98391(253) 848-5951(253) 845-7073 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adrienne Ann Berg Arnp NPPES

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

ADRIENNE ANN BERG ARNP (NPI 1437040896) is an individual nurse practitioner in Bonney Lake, Washington, licensed in Washington (AP70020454) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1437040896
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameADRIENNE ANN BERGCredential: ARNP
Location Address10004 204TH AVE EBonney Lake, WA 98391-6539
Mailing Address10004 204th Ave EBonney Lake, WA 98391-6539 · (253) 848-5951 · Fax (253) 845-7073
Phone(253) 848-5951
Fax(253) 845-7073
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1437040896 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 WA · AP70020454
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.
10004 204TH AVE E, Bonney Lake, WA 98391
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Adrienne Ann Berg Arnp 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 ID9830699495
PECOS Enrollment IDI20250826005012
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 Reassignment

Medicare enrollment records show Adrienne Berg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Hill Family Medicine PC
5.9 mi
Family Medicine
3908 10TH ST SE
Puyallup, WA 98374
  • Reassigned Medicare billing, Washington enrollment
  • 58 clinicians in this Medicare group
NPI 1538253331 (253) 848-5951

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 98391 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

DON MASSEY PA-C
Physician Assistant
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
MR. BRANDON ALAN SWISHER PA-C
Physician Assistant (Surgical)
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
JENNIE G HENDRIE M.D.
Pediatrics
10004 204TH AVE E, SUITE 1300
BONNEY LAKE, WA 98391
Pierce County (253) 848-8797
ERIN ELIZABETH ROTHENBERG PA-C
Physician Assistant
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
JEAN PIERE RIVERA NIEVES PA
Physician Assistant (Medical)
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
KIERSTI DEVANEY ARNP
Nurse Practitioner
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
TRAVIS LAIRD PT
Physical Therapist
10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391
Pierce County (253) 863-7510
MR. BRYAN JAMES ANTONIUS R.T.
Radiologic Technologist (Radiography)
10004 204TH AVE E, SUITE 2600
BONNEY LAKE, WA 98391
Pierce County (253) 446-3983

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 Adrienne Berg's NPI number?

The NPI number for Adrienne Berg is 1437040896. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Adrienne Berg located?

Adrienne Berg practices at 10004 204th Ave E, Bonney Lake, WA 98391. The listed phone number is (253) 848-5951.

What is Adrienne Berg's specialty?

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

Is Adrienne Berg enrolled in Medicare?

Yes. Adrienne 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 organization bills Medicare for Adrienne Berg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrienne Berg reassigns Medicare benefits to South Hill Family Medicine PC (Puyallup, WA). The 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 Adrienne Berg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrienne Berg accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Adrienne 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.

When was this NPI record last updated?

The NPPES record for Adrienne Berg was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.