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

Michael Richard Berg, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1922883644

Michael Richard Berg, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Practices with Perioperative Services of Mississippi, LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

10315 Dawsons Creek Blvd Ste AB
Fort Wayne, IN 46825-1912
Phone: (260) 436-7875
Fax: (260) 432-9812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28283408A (IN)

Record details

NPI number1922883644
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Perioperative Services Of Mississippi, Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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