KRISTINA LEE BERG (DNP) – Family Nurse Practitioner, NPI 1295280790
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KRISTINA LEE BERG (DNP)
905 MEDICAL PARK DRIVE
SUITE 1
EFFINGHAM, IL 624016252
Phone: (217) 329-3232
Fax: (217) 233-1670
Type: Location
HSHS Good Shepherd Hospital, 200, South Cedar Street, Shelbyville, Shelby County, Illinois, 62565, United States
SHELBYVILLE, IL 625651838
Phone: (217) 774-3961
Type: Location
601, East Dogwood Avenue, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624013800
Phone: (618) 553-8684
Type: Mailing
401 N MULBERRY ST
EFFINGHAM, IL 624012009
Phone: (618) 553-8684
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 184 Open Payments records for all available years, with a total value of $3,391.
Total Amount is formed as General ($3,391) + Research ($0) + Ownership ($0) = $3,391.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($533).
Total Amount
$3,391
General + Research + Ownership
Payments
184
Total payment records
General Amount
$3,391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $533 |
| ABBVIE INC. | $421 |
| Lilly USA, LLC | $239 |
| GlaxoSmithKline, LLC. | $173 |
| Phathom Pharmaceuticals, Inc. | $142 |
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: 2017-08-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170828002950 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 94 | 74 | $0 |
Insurance plans in this area (ZIP 62401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| General Surgery | IL | |
| - | IL | |
| Family Practice | MO | |
| Family Practice | IL |
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