JESSICA BERGER (PA-C) – Physician Assistant, NPI 1134639008
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JESSICA BERGER (PA-C)
South Kedzie Avenue, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States
EVERGREEN PARK, IL 608053184
Phone: (708) 423-6209
Type: Location
West Grant Place, Mid-North District, Lincoln Park, Chicago, Cook County, Illinois, 60614, United States
CHICAGO, IL 606143808
Phone: (480) 205-5112
Type: Mailing
9760 S KEDZIE AVE
EVERGREEN PARK, IL 608053109
Phone: (708) 423-6209
Fax: (708) 423-8152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 251 Open Payments records for all available years, with a total value of $5,018.
Total Amount is formed as General ($5,018) + Research ($0) + Ownership ($0) = $5,018.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($2,288).
Total Amount
$5,018
General + Research + Ownership
Payments
251
Total payment records
General Amount
$5,018
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,288 |
| Lilly USA, LLC | $613 |
| Amgen Inc. | $275 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $217 |
| AstraZeneca Pharmaceuticals LP | $184 |
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: 2019-10-29
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 |
|---|---|---|---|---|
| I20191029001377 | I | Physician Assistant | IL | 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 60805)
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