MARGARET BERRETH CNM
NPI 1275742397
Advanced Practice Midwife in Lawrenceville, NJ
NPI Status: Active since May 22, 2007
Contact Information
123 FRANKLIN CORNER RD
SUITE 214
LAWRENCEVILLE, NJ
ZIP 08648
Phone: (609) 896-1400
Fax: (609) 896-3986
- Individual
- Female
- Advanced Practice Midwife
- Accepts Insurance
- PECOS Enrolled
About MARGARET BERRETH
This page provides the complete NPI Profile along with additional information for Margaret Berreth, a provider established in Lawrenceville, New Jersey with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1275742397 assigned on May 2007. The practitioner's primary taxonomy code is 367A00000X with license number 26NR10179400 (NJ). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1275742397
- Provider Name
- MARGARET BERRETH CNM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 123 FRANKLIN CORNER RD SUITE 214 LAWRENCEVILLE, NJ 08648
- Location Phone
- (609) 896-1400
- Location Fax
- (609) 896-3986
- Mailing Address
- PO BOX 536 VOORHEES, NJ 08043
- Mailing Phone
- (856) 669-6050
- Mailing Fax
- (609) 896-3986
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 04-01-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 26NR10179400
- License State
- NJ
- Taxonomy Description
- Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Bronze Standard | with UNC Health Alliance - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Gold Standard | with UNC Health Alliance - EPO
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Silver Standard | with UNC Health Alliance - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Margaret Berreth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 08648 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.9
- Minimum New Patient Price $61.59
- Maximum New Patient Price $185.05
- Average New Patient Copayment $23.72
- Minimum New Patient Copayment $15.39
- Maximum New Patient Copayment $46.26
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $76.45
- Minimum Established Patient Price $20.08
- Maximum Established Patient Price $150.98
- Average Established Patient Copayment $19.11
- Minimum Established Patient Copayment $5.02
- Maximum Established Patient Copayment $37.74
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 7 | 4 | 2 | 3 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 14 | 4 | 4 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 4 + 4 + 4 + 3 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1275742397 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225031453 | STEVEN PAUL ELLIS M.D. Individual | Ophthalmology | 123 FRANKLIN CORNER RD STE 207 LAWRENCEVILLE, NJ 08648 (609) 896-9448 |
| 1306849526 | ROBERT KENT CHIANG M.D. Individual | Ophthalmology | 123 FRANKLIN CORNER RD STE 207 LAWRENCEVILLE, NJ 08648 (609) 896-9448 |
| 1114927563 | MR. RICHARD TONY KAUFFMAN B.S., M.P.T Individual | Physical Therapist | 123 FRANKLIN CORNER RD SUITE 103 LAWRENCEVILLE, NJ 08648 (609) 896-9054 |
| 1609876044 | MR. JAMES WILLIAM SCHORSCH III DPT Individual | Physical Therapist | 123 FRANKLIN CORNER RD SUITE 103 LAWRENCEVILLE, NJ 08648 (609) 896-9054 |
| 1275533614 | MR. JEFFREY S MANNHEIMER PHD, PT Individual | Physical Therapist | 123 FRANKLIN CORNER RD SUITE 103 LAWRENCEVILLE, NJ 08648 (609) 896-9054 |
| 1235183377 | INTERNAL MEDICINE ASSOCIATES OF LAWRENCE P C Organization | Internal Medicine | 123 FRANKLIN CORNER RD SUITE 216 LAWRENCEVILLE, NJ 08648 (609) 895-6800 |
| 1609821487 | MERCER EYE ASSOCIATES PA Organization | Specialist | 123 FRANKLIN CORNER RD SUITE 207 LAWRENCEVILLE, NJ 08648 (609) 896-9448 |
| 1346296316 | REGIONAL WOMENS HEALTH GROUP LLC Organization | Obstetrics & Gynecology | 123 FRANKLIN CORNER RD SUITE 214 LAWRENCEVILLE, NJ 08648 (609) 896-1400 |
| 1508806159 | MS. SANDRA PARKER RNNPC CRNP RNAPNC Individual | Nurse Practitioner | 123 FRANKLIN CORNER RD STE 214 LAWRENCE OBGYN ASSOCIATES LAWRENCEVILLE, NJ 08648 (609) 896-1400 |
| 1447292321 | DR. GINA C DELGIUDICE M.D. Individual | Internal Medicine (Rheumatology) | 123 FRANKLIN CORNER RD SUITE 106 LAWRENCEVILLE, NJ 08648 (609) 896-2505 |
| 1386687713 | DR. MICHAEL JUDE FRONCEK M.D. Individual | Internal Medicine (Rheumatology) | 123 FRANKLIN CORNER RD SUITE 106 LAWRENCEVILLE, NJ 08648 (609) 896-2505 |
| 1821019662 | DR. CHARLES BRIAN SIMONE M.D. Individual | Internal Medicine (Hematology & Oncology) | 123 FRANKLIN CORNER RD LAWRENCEVILLE, NJ 08648 (609) 896-2646 |
| 1356428841 | ROBIN R ANTONACCI MD Individual | Ophthalmology | 123 FRANKLIN CORNER RD SUITE 207 LAWRENCEVILLE, NJ 08648 (609) 896-9448 |
| 1184833352 | KATHLEEN GATER CNM Individual | Advanced Practice Midwife | 123 FRANKLIN CORNER RD SUITE 214 LAWRENCEVILLE, NJ 08648 (609) 896-1400 |
| 1306022918 | PRINCETON CHIROPRACTIC ASSOCIATES, P.C. Organization | Chiropractor | 123 FRANKLIN CORNER RD SUITE 107 LAWRENCEVILLE, NJ 08648 (609) 912-1900 |
| 1972833127 | DR. ALICIA ANNA MARIE WILLIAMS ED.D. Individual | Psychologist | 123 FRANKLIN CORNER RD SUITE 116 LAWRENCEVILLE, NJ 08648 (609) 672-1385 |
| 1780990135 | LAWRENCE OB/GYN PC Organization | Obstetrics & Gynecology | 123 FRANKLIN CORNER RD SUITE 214 LAWRENCEVILLE, NJ 08648 (609) 896-1400 |
| 1548578958 | JAMES P TAITSMAN MD PA Organization | Orthopaedic Surgery (Sports Medicine) | 123 FRANKLIN CORNER RD 114 LAWRENCEVILLE, NJ 08648 (609) 896-0707 |
| 1871839126 | DR. JEFFREY B ALLEN PH.D Individual | Psychologist | 123 FRANKLIN CORNER RD SUITE 116 LAWRENCEVILLE, NJ 08648 (609) 219-1600 |
| 1295738417 | WILLIAM J KUSTRUP MD Individual | Ophthalmology | 123 FRANKLIN CORNER RD STE 207 LAWRENCEVILLE, NJ 08648 (609) 896-9448 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275742397, enumerated in the NPI registry as an "individual" on May 22, 2007
The provider is located at 123 Franklin Corner Rd Suite 214 Lawrenceville, Nj 08648 and the phone number is (609) 896-1400
The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $94.9 with an average copayment of $23.72 for new patient appointments. Established patients should expect a typical charge of $76.45 and an average copayment of 19.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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