LINDA BERRISFORD (FNP) – Nurse Practitioner, NPI 1174694467

LINDA BERRISFORD (FNP) is a healthcare provider. based in Williamsport, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 71001919A (IN). The NPI Number for LINDA BERRISFORD (FNP) is 1174694467

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LINDA BERRISFORD (FNP)
NPI
1174694467
Phone
(765) 762-4170
Address
1731 RINGER LN
Enumeration Date
10 November 2006
Last Update Date
24 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7657624178
Graduation Year
2004 (22 years ago)
PAC ID
7315043254
Group Practice PAC ID
4486636776
Professional Enrollment ID
I20070509000399
Address ID
IN479878547VE440XXLNXX400

Contacts

Secure Messaging
linda.berrisford.1@7598.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for LINDA BERRISFORD (FNP)

  • 1731 RINGER LN

    WILLIAMSPORT, IN 479938900

    Phone: (765) 762-4170

    Fax: (765) 762-4171

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2023-04-13 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($106).

Total Amount

$106

General + Research + Ownership

Payments

1

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-13

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: 2007-05-09

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
I20070509000399INurse PractitionerINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47993)

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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: 4486636776View full group profile
NameSpecialtyState
Nurse PractitionerIN
General SurgeryIN
Nurse PractitionerIN
Internal MedicineIN
G A S T R O E N T E R O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Family PracticeVA
Internal Medicine, HospitalistIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is LINDA BERRISFORD (FNP)'s NPI number?
LINDA BERRISFORD (FNP)'s NPI is 1174694467 — the number used across U.S. healthcare to identify this provider.
Is LINDA BERRISFORD (FNP) shown as active in public data?
Registry records indicate LINDA BERRISFORD (FNP) maintains an active NPI.
What clinical focus is listed for LINDA BERRISFORD (FNP)?
At a glance, LINDA BERRISFORD (FNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Indiana is LINDA BERRISFORD (FNP) registered?
Use Williamsport, Indiana as the headline location for LINDA BERRISFORD (FNP) here.
Does LINDA BERRISFORD (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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