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JILL C. BERG NP-C
NPI 1447219951
Nurse Practitioner - Family in Fort Wayne, IN

Active since March 22, 2006
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-2297(260) 434-6433 Get Directions Write a Review

NPPES record last updated: December 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill C. Berg Np-c NPPES

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

JILL C. BERG NP-C (NPI 1447219951) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71001258A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1447219951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILL C. BERGCredential: NP-C
Location Address7916 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address6920 Pointe Inverness Way Ste 200, Medpartners, Attn: Barb CopelandFort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Phone(260) 432-2297
Fax(260) 434-6433
Sole ProprietorNo
Enumeration DateMarch 22, 2006
Last NPPES UpdateDecember 18, 2016
✔ NPI 1447219951 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 IN · 71001258A
7916 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Identifiers 6

Medicare UPINP47008IN
Medicare PIN260690LIN
Other000000289365IN · Anthem
Other500022462Railroad
Medicaid200353910IN
Medicaid2454348OH

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.

LISA R. STANLEY NP
Nurse Practitioner (Family)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 434-6322
STEPHEN K. REED MD
Internal Medicine (Interventional Cardiology)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2297
ERIC M. GODDARD PA-C
Physician Assistant
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 434-6322
JASON MICHAEL RODRIGUEZ MD
Internal Medicine (Clinical Cardiac Electrophysiology)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2297
JEANNE M. ROWE M.D.
Internal Medicine
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2297
DR. MUZAMMIL HANIF MUSANI M.D
Internal Medicine (Interventional Cardiology)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2297
ANN M. GRUBB PA
Physician Assistant
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2297
DR. MADHU G. JYOTHINAGARAM MD
Internal Medicine (Cardiovascular Disease)
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-2297

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 Jill Berg's NPI number?

The NPI number for Jill Berg is 1447219951. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Jill Berg located?

Jill Berg practices at 7916 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-2297.

What is Jill Berg's specialty?

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

When was this NPI record last updated?

The NPPES record for Jill Berg was last updated on December 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.