SUSAN BERGER (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063804631
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUSAN BERGER (CNP)
904 SCIOTO ST
2ND FLOOR
URBANA, OH 430782226
Phone: (937) 484-6700
Type: Mailing
4867 URBANA RD
SPRINGFIELD, OH 455029815
Phone: (937) 563-4901
Fax: (937) 381-6975
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 113 Open Payments records for all available years, with a total value of $3,275.
Total Amount is formed as General ($3,275) + Research ($0) + Ownership ($0) = $3,275.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ABBVIE INC. ($894).
Total Amount
$3,275
General + Research + Ownership
Payments
113
Total payment records
General Amount
$3,275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $894 |
| Otsuka America Pharmaceutical, Inc. | $508 |
| Axsome Therapeutics, Inc. | $244 |
| ITI, Inc. | $218 |
| Lilly USA, LLC | $211 |
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: 2015-03-05
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 |
|---|---|---|---|---|
| I20150305001384 | I | Nurse Practitioner | OH | 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 43078)
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