MRS. TAKEDRIA MINGO-BERRY (FNP-BC) – Nurse Practitioner, NPI 1255816591

MRS. TAKEDRIA MINGO-BERRY (FNP-BC) is a healthcare provider. based in Blue springs, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 2018035915 (MO). The NPI Number for MRS. TAKEDRIA MINGO-BERRY (FNP-BC) is 1255816591

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAKEDRIA MINGO-BERRY (FNP-BC)
NPI
1255816591
Phone
(816) 229-3265
Address
206 NW MOCK AVE STE 201
Enumeration Date
2 October 2018
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8167917177
Graduation Year
2018 (8 years ago)
PAC ID
6204175797
Group Practice PAC ID
1254744469
Professional Enrollment ID
I20190227002733
Address ID
MO641282818KA4400XSTXX400

Contacts

Secure Messaging
takedria.mingo-berry.1@29601.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:7State licenses:2Other names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MRS. TAKEDRIA MINGO-BERRY (FNP-BC)

  • 201, Northwest Mock Avenue, Blue Springs, Jackson County, Missouri, 64014, United States

    BLUE SPRINGS, MO 640142530

    Phone: (816) 229-3265

    Type: Location

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone:

    Type: Mailing

  • 2101 CORONA RD STE 102

    COLUMBIA, MO 652032582

    Phone: (573) 234-1800

    Type: Location

  • 18006 E UNION SCHOOL RD

    INDEPENDENCE, MO 640581975

    Phone: (816) 217-7659

    Type: Mailing

  • 41800 W 11 MILE RD STE 109751

    NOVI, MI 483751872

    Phone: (240) 660-1220

    Type: Location

  • 4400 E 39TH ST

    KANSAS CITY, MO 641282818

    Phone: (816) 791-7177

    Type: Location

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 $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-24

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: 2023-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190227002733INurse PractitionerMOTBD
I20230710002747INurse PractitionerKSTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes460115$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes24791$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 64014)

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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: 1254744469View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeMO
Nurse PractitionerFL
Internal MedicineFL
Family PracticeFL
Family PracticeFL
Family PracticeMO
Nurse PractitionerKS
Family PracticeFL

Reviews

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Frequently asked questions

How do I look up MRS. TAKEDRIA MINGO-BERRY (FNP-BC) by NPI?
Use NPI 1255816591 when you need to reference MRS. TAKEDRIA MINGO-BERRY (FNP-BC) in forms, claims, or directories.
Is MRS. TAKEDRIA MINGO-BERRY (FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MRS. TAKEDRIA MINGO-BERRY (FNP-BC) treat or focus on?
Patients typically see MRS. TAKEDRIA MINGO-BERRY (FNP-BC) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MRS. TAKEDRIA MINGO-BERRY (FNP-BC)?
We surface Blue Springs, Missouri for MRS. TAKEDRIA MINGO-BERRY (FNP-BC) based on available NPPES addresses.
Is MRS. TAKEDRIA MINGO-BERRY (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1255816591. Always confirm identity and privileges with the practice and licensing boards.

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