DR. HOLLY LYNN SCHRUPP BERG (MD) – Emergency Medicine Physician, NPI 1013171545

DR. HOLLY LYNN SCHRUPP BERG (MD) is a healthcare provider. based in Bloomington, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 52367 (MN). The NPI Number for DR. HOLLY LYNN SCHRUPP BERG (MD) is 1013171545

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLY LYNN SCHRUPP BERG (MD)
NPI
1013171545
Phone
(952) 835-9880
Address
4300 MARKETPOINTE DR STE 100
Enumeration Date
14 July 2008
Last Update Date
8 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9528359880
Graduation Year
2006 (20 years ago)
PAC ID
4183760309
Group Practice PAC ID
9537072657
Professional Enrollment ID
I20091001000325
Address ID
MN554355435BL4300XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,171 EMERGENCY MEDICINE in MN

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Provider Addresses for DR. HOLLY LYNN SCHRUPP BERG (MD)

  • MarketPointe Drive, Bloomington, Hennepin County, Minnesota, 55435-4534, United States

    BLOOMINGTON, MN 554355435

    Phone: (952) 835-9880

    Fax: (952) 857-1554

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-01

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
I20091001000325IEmergency MedicineMNTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7463$0
99285Emergency department visit with high level of medical decision making6464$0
99284Emergency department visit with moderate level of medical decision making3030$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 9537072657View full group profile
NameSpecialtyState
-MN
Physician AssistantMN
-WA
-MN
Physician AssistantIA
Emergency MedicineMN
-MN
Physician AssistantMN
Emergency Medicine, Internal MedicineMN
Physician AssistantMN

Reviews

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Frequently asked questions

How do payers reference DR. HOLLY LYNN SCHRUPP BERG (MD)?
For DR. HOLLY LYNN SCHRUPP BERG (MD), use NPI 1013171545 as the unique 10-digit identifier.
Is DR. HOLLY LYNN SCHRUPP BERG (MD) shown as active in public data?
Registry records indicate DR. HOLLY LYNN SCHRUPP BERG (MD) maintains an active NPI.
What area of care is associated with DR. HOLLY LYNN SCHRUPP BERG (MD)?
DR. HOLLY LYNN SCHRUPP BERG (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. HOLLY LYNN SCHRUPP BERG (MD)?
Directory geography for DR. HOLLY LYNN SCHRUPP BERG (MD) centers on Bloomington, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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