CORTNEY VAN DEN BERG – Medical Physician Assistant, NPI 1437519717

CORTNEY VAN DEN BERG is a healthcare provider. based in Henderson, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold a License No. 1994 (NE). The NPI Number for CORTNEY VAN DEN BERG is 1437519717

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CORTNEY VAN DEN BERG
NPI
1437519717
Phone
(402) 723-4512
Address
1621 FRONT ST
Enumeration Date
1 March 2016
Last Update Date
2 March 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4027732130
Graduation Year
2015 (11 years ago)
PAC ID
1355648320
Group Practice PAC ID
4284605700
Professional Enrollment ID
I20160318001866
Address ID
NE689792215SU208XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for CORTNEY VAN DEN BERG

  • Henderson Community Hospital, 1621, Front Street, Henderson, York County, Nebraska, 68371, United States

    HENDERSON, NE 683718902

    Phone: (402) 723-4512

    Fax: (402) 723-4520

    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 5 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: 2024-10-07 • Largest payer in this snapshot: ABBVIE INC. ($56).

Total Amount

$106

General + Research + Ownership

Payments

5

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

2024-10-07

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: 2016-03-18

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
I20160318001866IPhysician AssistantNETBD

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 68371)

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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: 4284605700View full group profile
NameSpecialtyState
Family PracticeNE
Family PracticeNE
Family PracticeNE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE

Reviews

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Frequently asked questions

What is the 10-digit NPI for CORTNEY VAN DEN BERG?
CORTNEY VAN DEN BERG — NPI 1437519717 — is the standard way to identify this listing.
Does the file indicate CORTNEY VAN DEN BERG is practicing under active NPI?
Directory data currently reports CORTNEY VAN DEN BERG as active.
What is CORTNEY VAN DEN BERG's specialty?
The listing groups CORTNEY VAN DEN BERG with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does CORTNEY VAN DEN BERG serve?
CORTNEY VAN DEN BERG's listing highlights Henderson, Nebraska; more addresses can appear in NPPES.
Why does CORTNEY VAN DEN BERG have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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