MIKE DOUGLAS BERRY FNP
NPI 1912368234
Nurse Practitioner in Richland, WA

Q: What is Mike Berry's NPI number?

The NPI number for Mike Berry is 1912368234. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Q: What is Mike Berry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mike Berry was last updated on July 17, 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.

Active since March 14, 2016PECOS EnrolledAccepts Medicare Assignment

888 SWIFT BLVD, RICHLAND, WA 99352(509) 946-4611 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Mar 14, 2016 (2 updates tracked since 2016).

On this page

About Mike Douglas Berry Fnp NPPES

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

MIKE DOUGLAS BERRY FNP (NPI 1912368234) is an individual nurse practitioner in Richland, Washington, licensed in Washington (AP60610441) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Sheridan Memorial Hosptial, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912368234

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMIKE DOUGLAS BERRYCredential: FNP

Location Address888 SWIFT BLVDRichland, WA 99352-3514

Mailing Address505 S 336th St Ste 350Federal Way, WA 98003-5948 · (253) 733-3969

Phone(509) 946-4611

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 14, 2016

Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1912368234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WA · AP60610441✔ Licensed in MT · 177890

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.

888 SWIFT BLVD, Richland, WA 99352

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Mike Douglas Berry 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 ID8820387293

PECOS Enrollment IDI20220311001179

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.

Hospital Affiliations CMS Care Compare 2

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

Sheridan Memorial Hosptial

Critical Access Hospitals · Plentywood, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271322

Location440 W Laurel AvePlentywood, MT 59254 · Sheridan County

Emergency services

Daniels Memorial Hospital

Critical Access Hospitals · Scobey, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271342

Location105 5th Ave EScobey, MT 59263 · Daniels County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

REBEKAH ANNE SHAW

Registered Nurse