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Active NPI 1659374130 Individual Practitioner Female Practitioner

Dr. Ericca S Berry , DNP, CPNP

Nurse Practitioner - Pediatrics • Glendive, MT

Professional Overview & Biography Verified Profile Summary

Dr. Ericca Berry, DNP, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Glendive, MT. Practice services are available at 100 1/2 S MERRILL AVE STE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 1/2 S Merrill Ave Ste 9

Glendive, MT 593301669

Telephone 4063448278
Fax 4068315449
Associated Practice Facility / Clinic
🏢 Berry Pediatrics Pllc Facility NPI 1831075076

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Glendive, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Glendive, MT (48 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-22
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MT 104569

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MO 2007020392

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License TX 751749

Definition to come...

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MT 104569

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License KS 45442

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
8K5202 (TX)

Secondary Practice Locations

Po Box 3130

Kalispell, MT 599033130

Phone: 4062724631

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location September 22, 2025

Registered at 100 1/2 S MERRILL AVE STE 9, GLENDIVE, MT 593301669 (Tel: 4063448278)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2025

Nurse Practitioner (License #104569 in MT)

📍
Updated Practice Location August 13, 2025

Registered at PO BOX 3130, KALISPELL, MT 599033130 (Tel: 4062724631)

📍
Updated Business Mailing Address August 13, 2025

Registered at 100 1/2 S MERRILL AVE STE 9, GLENDIVE, MT 593301669 (Tel: 4063448278)

👤
Provider Name / Credentials Updated August 13, 2025

Recorded as ERICCA BERRY, DNP, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Nurse Practitioner (License #45442 in KS)

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2017

Registered at 107 DILWORTH ST, GLENDIVE, MT 593302053 (Tel: (406) 345-8901)

📍
Updated Business Mailing Address September 15, 2017

Registered at 107 DILWORTH ST, GLENDIVE, MT 593302053 (Tel: (406) 345-8901)

👤
Provider Name / Credentials Updated September 15, 2017

Recorded as ERICCA BERRY, ARNP, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Nurse Practitioner (License #45442 in KS)

NPI Profile Active October 31, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2012

Registered at 1935 MEDICAL DISTRICT DR, DALLAS, TX 752357701 (Tel: 2144562207)

📍
Updated Business Mailing Address October 31, 2012

Registered at 1935 MEDICAL DISTRICT DR, DALLAS, TX 752357701 (Tel: 2144562207)

👤
Provider Name / Credentials Updated October 31, 2012

Recorded as ERICCA BERRY, ARNP, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2012

Nurse Practitioner (License #751749 in TX)

🟢
Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659374130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: September 22, 2025
Sole Proprietor: Yes

Mailing Address

100 1/2 S Merrill Ave Ste 9

Glendive, MT 593301669

Phone: 4063448278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.