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NICHOLE ASHLEY BERRYMAN CRNA
NPI 1457990467
Nurse Anesthetist, Certified Registered in Menomonie, WI

Active since December 23, 2019PECOS EnrolledAccepts Medicare Assignment
2321 STOUT RD, MENOMONIE, WI 54751(715) 838-5222 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Dec 23, 2019 (2 updates tracked since 2019).

About Nichole Ashley Berryman Crna NPPES

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

NICHOLE ASHLEY BERRYMAN CRNA (NPI 1457990467) is an individual nurse anesthetist, certified registered in Menomonie, Wisconsin, licensed in Wisconsin (10322) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1457990467
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNICHOLE ASHLEY BERRYMANCredential: CRNA
Location Address2321 STOUT RDMenomonie, WI 54751-7003
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Phone(715) 838-5222
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 23, 2019
Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1457990467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in WI · 10322✔ Licensed in MN · R2453215
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2321 STOUT RD, Menomonie, WI 54751
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Other Names 1

Former Name (1)Nichole Ashley Merten

Secondary Practice Location 1

Location 1333 Smith Ave NSaint Paul, MN 55102-2344 · Phone (763) 852-0385

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

Nichole Ashley Berryman Crna 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 ID5294165718
PECOS Enrollment IDI20201201003101
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 Nichole Berryman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
Same address
Multi-Specialty
2321 STOUT RD
Menomonie, WI 54751
NPI 1235666967 (715) 235-5531

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

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54751 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

HANNAH KAY LUNDE P.T.
Physical Therapist
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 235-5531
KALIE R TOWNSEND NP
Nurse Practitioner
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 838-5222
RICHARD D NAGLER MD
Internal Medicine
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 838-5222
JANE M. FOOS R.D.
Dietitian, Registered
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 235-5531
TERRY J. LINZMEIER M.F.T.
Marriage & Family Therapist
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 235-5531
AMANDA SUE MOLBACK N.P.
Nurse Practitioner
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 235-5531
CHRISTINE E. MORGAN F.N.P.
Nurse Practitioner
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 233-7777
DIANE K. DELEGARD PH.D.
Counselor (Mental Health)
2321 STOUT RD
MENOMONIE, WI 54751
Dunn County (715) 235-5531

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 Nichole Berryman's NPI number?

The NPI number for Nichole Berryman is 1457990467. It was assigned to this individual provider in the NPPES registry on December 23, 2019. The provider is also known as Nichole Ashley Merten.

Where is Nichole Berryman located?

Nichole Berryman practices at 2321 Stout Rd, Menomonie, WI 54751. The listed phone number is (715) 838-5222.

What is Nichole Berryman's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nichole Berryman enrolled in Medicare?

Yes. Nichole Berryman 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 Nichole Berryman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Berryman reassigns Medicare benefits to Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Menomonie, WI). 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 Nichole Berryman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nichole Berryman affiliated with any hospitals?

According to CMS data, Nichole Berryman is affiliated with Mayo Clinic Health System Eau Claire Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Berryman was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.