JENNIFER S BERRY PMHNP - NPI 1720807431 - Nurse Practitioner in Dearborn, MI

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Berry was last updated on February 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

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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, Oscar Insurance Company, UnitedHealthcare.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

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.

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.

REFUGE IN HEALING

Clinic/Center (Mental Health (Including Community Mental Health Center))