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

Mr. Michael John Berg, AGACNP-BC

Individual provider Emergency Registered Nurse · NPI 1598399677

Mr. Michael John Berg, AGACNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone: (602) 839-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3272 E Meadowview Dr, Gilbert, AZ 85298-4313 — (480) 203-4365

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 235165 (AZ)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN193635 (AZ)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 235165 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 235165 (AZ)

Record details

NPI number1598399677
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 27, 2020
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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