Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elyssa Berg

Individual provider Emergency Medicine Physician · NPI 1255745113

Elyssa Berg is an Emergency Medicine in Fort Defiance, Arizona. Graduated from Yale University School of Medicine in 2014, 12 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Yale University School of Medicine
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301113504 (MI)

Record details

NPI number1255745113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2014
Last updated in NPPESMay 24, 2019
Mailing addressPo Box 589, Fort Defiance, AZ 86504-0589

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Defiance