Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOHN BERLIN FNP
NPI 1689117004
Nurse Practitioner in Hayward, WI

Active since December 02, 2016PECOS Enrolled
15954 RIVERS EDGE DR, HAYWARD, WI 54843(715) 634-2541(715) 934-5189 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Berlin Fnp NPPES

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

JOHN BERLIN FNP (NPI 1689117004) is an individual nurse practitioner in Hayward, Wisconsin, licensed in Wisconsin (172629) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Aspirus Iron River Hospital & Clinics, Inc, and maintains a secondary practice location in Ironwood.

NPPES Registry Identity

NPI1689117004
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHN BERLINCredential: FNP
Location Address15954 RIVERS EDGE DRHayward, WI 54843-7800
Mailing Address15954 Rivers Edge DrHayward, WI 54843-7800 · (715) 634-2541 · Fax (715) 934-5189
Fax(715) 934-5189
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 2, 2016
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
NPI 1689117004 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 WI · 172629
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.
15954 RIVERS EDGE DR, Hayward, WI 54843

Secondary Practice Location 1

Location 1N10561 Grandview LnIronwood, MI 49938-9622 · Phone (906) 932-2525 · Fax (906) 932-6288

Accepted Insurance

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

John Berlin Fnp 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 ID1456635333
PECOS Enrollment IDI20170222000802, I20240408000916
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.

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.
132 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
18 services13 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.
17 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231318
Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County
Emergency services

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers37 claims37 services$21.26 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$774.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers50 claims50 services$118.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dental Hygienist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Physician Assistant
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Physician Assistant (Medical)
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Nurse Practitioner
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Counselor (Professional)
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Speech-Language Pathologist
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Counselor (Addiction (Substance Use Disorder))
15954 RIVERS EDGE DR
HAYWARD, WI 54843
Physical Therapist
15954 RIVERS EDGE DR
HAYWARD, WI 54843

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 John Berlin's NPI number?

The NPI number for John Berlin is 1689117004. It was assigned to this individual provider in the NPPES registry on December 2, 2016.

Where is John Berlin located?

John Berlin practices at 15954 Rivers Edge Dr, Hayward, WI 54843. The listed phone number is (715) 634-2541.

What is John Berlin's specialty?

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

Is John Berlin enrolled in Medicare?

Yes. John Berlin 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.

What insurance does John Berlin accept?

Health plans from Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, HealthPartners and Medica and 1 other insurer list John Berlin 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.

Is John Berlin affiliated with any hospitals?

According to CMS data, John Berlin is affiliated with Aspirus Iron River Hospital & Clinics, Inc, Aspirus Ironwood Hospital, Aspirus Medford Hospital & Clinics, Inc and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for John Berlin was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.