Individual provider

Elizabeth Berends, NURSE PRACTITIONER

Family Nurse Practitioner Registered Nurse

Elizabeth Berends, NURSE PRACTITIONER is a Family Nurse Practitioner in Fort Campbell, KY, registered under NPI 1417557612. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 650 JOEL DR, Fort Campbell, KY 42223. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

650 JOEL DR, Fort Campbell, KY 42223 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
091225-23 NH Family Nurse Practitioner primary
RN607106 PA Registered Nurse

Licences are recorded in 2 states: NH, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: New Hampshire and Pennsylvania. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NH New Hampshire
Licence
091225-23
Specialty
Family Nurse Practitioner
Verify with the NH board →
PA Pennsylvania
Licence
RN607106
Specialty
Registered Nurse
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 091225-23 NH primary
163W00000X Registered Nurse RN607106 PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417557612 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 27, 2020
Last updatedAug 14, 2024
StatusActive
Sole proprietorYes
CredentialNURSE PRACTITIONER
Practice address 650 JOEL DR
Fort Campbell, KY 42223
(270) 798-8400
Fax (270) 798-8556
This record was updated on Aug 14, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1417557612 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 5 5 7 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 1 5 5 6 2

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417557612?
NPI 1417557612 is the National Provider Identifier assigned to Elizabeth Berends, NURSE PRACTITIONER in Fort Campbell, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Elizabeth Berends, NURSE PRACTITIONER?
The phone number on file with NPPES is (270) 798-8400, last updated Aug 14, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1417557612 a valid number?
Yes. 1417557612 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.