MARCIA R BERRY NP-C
NPI 1598061764
Nurse Practitioner - Family in Lakeland, FL

Active since February 04, 2011PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7300(866) 264-8519 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2020, Jun 13, 2017 (2 updates tracked since 2017).

About Marcia R Berry Np-c NPPES

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

MARCIA R BERRY NP-C (NPI 1598061764) is an individual family provider in Lakeland, Florida, licensed in Florida (ARNP2982192) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598061764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARCIA R BERRYCredential: NP-C
Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805-3019
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3019 · (863) 680-7000 · Fax (866) 264-8519
Fax(866) 264-8519
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 4, 2011
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
NPI 1598061764 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 FL · ARNP2982192
1600 LAKELAND HILLS BLVD, Lakeland, FL 33805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marcia R Berry Np-c 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 ID4789818477
PECOS Enrollment IDI20131011001670
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.

Areas of Expertise CMS Part B claims 6

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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
742 services32 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
296 services82 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
120 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services34 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
41 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.87
Promoting Interoperability100
Improvement Activities40
Cost59.5

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.

Obstetrics & Gynecology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Anesthesiology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Family Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 Marcia Berry's NPI number?

The NPI number for Marcia Berry is 1598061764. It was assigned to this individual provider in the NPPES registry on February 4, 2011.

Where is Marcia Berry located?

Marcia Berry practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7300.

What is Marcia Berry's specialty?

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

Is Marcia Berry enrolled in Medicare?

Yes. Marcia Berry 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.

When was this NPI record last updated?

The NPPES record for Marcia Berry was last updated on November 27, 2023. 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.