JENNA NICOLE BERG – Family Nurse Practitioner, NPI 1881568525

JENNA NICOLE BERG is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1028081 (TX). The NPI Number for JENNA NICOLE BERG is 1881568525

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNA NICOLE BERG
NPI
1881568525
Phone
(409) 813-1677
Address
3406 COLLEGE ST STE 200
Enumeration Date
4 October 2025
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098131677
Graduation Year
2025 (1 year ago)
PAC ID
7911483987
Group Practice PAC ID
1557506383
Professional Enrollment ID
I20260108004022
Address ID
TX776622610VI2353XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JENNA NICOLE BERG

  • 3406 COLLEGE ST STE 200

    BEAUMONT, TX 777014612

    Phone: (409) 813-1677

    Fax: (409) 736-7167

    Type: Mailing

  • 2353 N MAIN ST

    VIDOR, TX 776622610

    Phone: (409) 813-1677

    Fax: (409) 422-4997

    Type: Location

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: 2026-01-08

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
I20260108004022INurse PractitionerTXTBD

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 77701)

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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: 1557506383View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineTX
General SurgeryFL
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX
-TX

Reviews

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Frequently asked questions

What identifier follows JENNA NICOLE BERG across health systems?
The NPI 1881568525 uniquely identifies JENNA NICOLE BERG in U.S. healthcare data.
Quick check: is JENNA NICOLE BERG active?
Public NPPES data shows JENNA NICOLE BERG with an active NPI status right now.
What does the directory say JENNA NICOLE BERG does?
Insurance directories may phrase it differently, but here JENNA NICOLE BERG maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JENNA NICOLE BERG in Beaumont, Texas?
For routing, start with Beaumont, Texas for JENNA NICOLE BERG, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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