Individual provider · NPI-1

Kelsie Berger, FNP-BC

Nurse Practitioner · Mishawaka, IN

NPI number1316533094
StatusActive
Last updated in NPPESJul 6, 2026

Details

NPI
1316533094
Entity type
Individual (NPI-1)
Name
Kelsie Berger
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2020
Certification date
Jul 6, 2026
Last updated
Jul 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner71010618AINYes

Practice location

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Phone 574-237-1328 · Fax 574-968-9442

Mailing address

Po Box 746092
Atlanta, GA 30374-6092

Phone 574-334-5400

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