SKYE RAELYNN PORTER BERG (FNP) – Nurse Practitioner, NPI 1508446089

SKYE RAELYNN PORTER BERG (FNP) is a healthcare provider. based in San francisco, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95223197 (CA). The NPI Number for SKYE RAELYNN PORTER BERG (FNP) is 1508446089

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SKYE RAELYNN PORTER BERG (FNP)
NPI
1508446089
Phone
(415) 353-1116
Address
505 PARNASSUS AVE # M-917
Enumeration Date
9 April 2021
Last Update Date
14 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154761000
Graduation Year
2021 (5 years ago)
PAC ID
9133509904
Group Practice PAC ID
2769370535
Professional Enrollment ID
I20220711002039
Address ID
CA941432204SA505XXAVEX300

Contacts

Secure Messaging
tkowalski@innovativeventures.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SKYE RAELYNN PORTER BERG (FNP)

  • 505 PARNASSUS AVE # M-917

    SAN FRANCISCO, CA 941432204

    Phone: (415) 353-1116

    Fax: (415) 353-1990

    Type: Location

  • 901 McClintock Dr Ste 202

    Burr Ridge, IL 605270872

    Phone: (630) 590-2830

    Fax: (630) 734-4715

    Type: Location

  • 2825 Capitol Ave

    Sacramento, CA 958166039

    Phone: (916) 887-1310

    Type: Location

  • 5 Medical Plaza Dr Ste 190

    Roseville, CA 956612867

    Phone: (916) 786-7498

    Fax: (916) 786-2715

    Type: Location

  • 29 SUNSHINE CT

    GALT, CA 956322377

    Phone: (480) 389-6361

    Type: Mailing

  • 901 MCCLINTOCK DR STE 202

    BURR RIDGE, IL 605270872

    Phone: (630) 590-2830

    Fax: (630) 734-4715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $289.

Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Boston Scientific Corporation ($149).

Total Amount

$289

General + Research + Ownership

Payments

3

Total payment records

General Amount

$289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

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: 2022-07-11

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
I20220711002039INurse PractitionerCATBD

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 minutes8765$0
99496Transitional care management services for problem of high complexity1818$0
99443Telephone medical discussion with physician, 21-30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 94143)

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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: 2769370535View full group profile
NameSpecialtyState
-CA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseasePA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How do payers reference SKYE RAELYNN PORTER BERG (FNP)?
For SKYE RAELYNN PORTER BERG (FNP), use NPI 1508446089 as the unique 10-digit identifier.
Is SKYE RAELYNN PORTER BERG (FNP) shown as active in public data?
Registry records indicate SKYE RAELYNN PORTER BERG (FNP) maintains an active NPI.
What area of care is associated with SKYE RAELYNN PORTER BERG (FNP)?
SKYE RAELYNN PORTER BERG (FNP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with SKYE RAELYNN PORTER BERG (FNP)?
Directory geography for SKYE RAELYNN PORTER BERG (FNP) centers on San Francisco, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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