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

Leila Marie Berg, PA-C

Individual provider Physician Assistant · NPI 1558176693

Leila Marie Berg, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2025, 1 year ago. Practices with Full Circle Health Inc, a 109-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2275 S Eagle Rd Ste 120
Meridian, ID 83642-2620
Phone: (208) 514-2520
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2411 Village Ln, Billings, MT 59102-2491 — (406) 657-1025

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6271988 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558176693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2025
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Full Circle Health Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian