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JENNIFER S BERRY PMHNP
NPI 1720807431
Nurse Practitioner - Psychiatric/Mental Health in Dearborn, MI

Active since October 09, 2024PECOS EnrolledAccepts Medicare Assignment
22332 GARRISON ST, DEARBORN, MI 48124(313) 546-8339(949) 834-3844 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Aug 5, 2025, Dec 11, 2024 and 1 more (4 updates tracked since 2024).

About Jennifer S Berry Pmhnp NPPES

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

JENNIFER S BERRY PMHNP (NPI 1720807431) is an individual psychiatric/mental health provider in Dearborn, Michigan, licensed in Michigan (4704277653) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dearborn, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720807431
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER S BERRYCredential: PMHNP
Location Address22332 GARRISON STDearborn, MI 48124-2228
Mailing Address445 Kingsbury AveDearborn, MI 48128-1581 · (313) 300-1938 · Fax (949) 834-3844
Phone(313) 546-8339
Fax(949) 834-3844
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 9, 2024
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1720807431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704277653
22332 GARRISON ST, Dearborn, MI 48124
Open in Google Maps ↗

Secondary Practice Location 1

Location 1835 Mason St Ste B300-FDearborn, MI 48124-2231 · Phone (313) 546-8339

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Jennifer S Berry Pmhnp 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 ID1658883103
PECOS Enrollment IDI20250621000040
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 Jennifer Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moonshot Psychiatric Nurse Practitioner PC
1,930 mi
Psychiatric/Mental Health
4803 FREMONT AVE N
Seattle, WA 98103
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1669158879 (855) 444-7258

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 48124 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 10

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

ALAA HOJEIJ LMSW-CLINICAL
Social Worker
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (313) 681-3358
REFUGE IN HEALING
Clinic/Center (Mental Health (Including Community Mental Health Center))
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (313) 364-9779
ZEINAB KADOUH
Social Worker (Clinical)
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (313) 451-0484
MINDFUL MIND THERAPY LLC
Social Worker (Clinical)
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (313) 451-0484
SERENITY PATH LLC
Social Worker (Clinical)
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (734) 210-0599
NOUR BAZZI
Social Worker (Clinical)
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (313) 451-0484
HAWRAA KHALIL
Social Worker (Clinical)
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (313) 451-0484
ALI H KHATER LLMSW
Social Worker (Clinical)
22332 GARRISON ST
DEARBORN, MI 48124
Wayne County (313) 637-1369

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 Jennifer Berry's NPI number?

The NPI number for Jennifer Berry is 1720807431. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Jennifer Berry located?

Jennifer Berry practices at 22332 Garrison St, Dearborn, MI 48124. The listed phone number is (313) 546-8339.

What is Jennifer Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Berry enrolled in Medicare?

Yes. Jennifer 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.

Which organization bills Medicare for Jennifer Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Berry reassigns Medicare benefits to Moonshot Psychiatric Nurse Practitioner PC (Seattle, 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 Jennifer Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Berry accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Jennifer Berry 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 Jennifer Berry was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.