SUSAN L. BERG (FNP) – Family Nurse Practitioner, NPI 1639210412
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for SUSAN L. BERG (FNP)
1229 E Seminole St
Springfield, MO 658042227
Phone: (417) 820-5750
Fax: (417) 820-5066
Type: Location
2995 DREW ST FL 2
CLEARWATER, FL 337593012
Phone: (727) 315-7496
Type: Mailing
3503 E FRONTAGE RD
TAMPA, FL 336071742
Phone: (813) 586-8187
Fax: (813) 321-6998
Type: Location
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Fax: (417) 829-4316
Type: Mailing
1229, East Seminole Street, Meador Park, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658042227
Phone: (417) 820-5750
Fax: (417) 820-5066
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 $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Actelion Pharmaceuticals US, Inc. | $121 |
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: 2024-07-25
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 |
|---|---|---|---|---|
| I20240725000705 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Family Practice, Sports Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | VA | |
| Physician Assistant | FL | |
| - | FL |
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