JOANNA LEE BERRY (FNP) – Family Nurse Practitioner, NPI 1164783502

JOANNA LEE BERRY (FNP) is a healthcare provider. based in Enterprise, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1-105643 (AL). The NPI Number for JOANNA LEE BERRY (FNP) is 1164783502

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA LEE BERRY (FNP)
NPI
1164783502
Phone
(334) 393-3686
Address
101 E BRUNSON ST STE 200
Enumeration Date
1 June 2012
Last Update Date
18 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
3343030266194
Graduation Year
2011 (15 years ago)
PAC ID
2163688334
Group Practice PAC ID
3375574106
Professional Enrollment ID
I20120717000338
Address ID
AL363302500EN101XXSTXX404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JOANNA LEE BERRY (FNP)

  • 101 E BRUNSON ST STE 200

    ENTERPRISE, AL 363302500

    Phone: (334) 393-3686

    Fax: (334) 347-4096

    Type: Location

  • 400 N Edwards St

    Enterprise, AL 363302510

    Phone: (334) 347-0584

    Type: Location

  • 101 E BRUNSON ST

    STE 200

    ENTERPRISE, AL 363302500

    Phone: (334) 347-0584

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 171 Open Payments records for all available years, with a total value of $2,326.

Total Amount is formed as General ($2,326) + Research ($0) + Ownership ($0) = $2,326.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($475).

Total Amount

$2,326

General + Research + Ownership

Payments

171

Total payment records

General Amount

$2,326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120717000338INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes611374$0
99213Established patient office or other outpatient visit, 20-29 minutes136114$0
J0696Injection, ceftriaxone sodium, per 250 mg8017$0
87804Detection test by immunoassay with direct visual observation for influenza virus7836$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)4945$0
View full utilization report →

Insurance plans in this area (ZIP 36330)

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Provider's Procedures

JOANNA LEE BERRY (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report145141

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375574106View full group profile
NameSpecialtyState
Family PracticeNE
Family PracticeAL
-AL
Internal MedicineAL
-AL
Internal Medicine, Emergency MedicineAL
Family PracticeAL
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the standard ID for JOANNA LEE BERRY (FNP) in the U.S.?
In the U.S., JOANNA LEE BERRY (FNP) is identified by NPI 1164783502.
Does the public listing show JOANNA LEE BERRY (FNP) as active?
JOANNA LEE BERRY (FNP)'s NPI record reflects an active status in NPPES.
What does the directory say JOANNA LEE BERRY (FNP) does?
Insurance directories may phrase it differently, but here JOANNA LEE BERRY (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOANNA LEE BERRY (FNP) tied to Enterprise, Alabama?
If you are local to Enterprise, Alabama, JOANNA LEE BERRY (FNP) may be relevant to your search.
Can I export JOANNA LEE BERRY (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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