ANDREA BERGSTROM NP
NPI 1013179217
Nurse Practitioner - Family in Saint Paul, MN

Active since June 28, 2008PECOS EnrolledAccepts Medicare Assignment
178 9TH ST E STE 300, SAINT PAUL, MN 55101(612) 275-2398 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Bergstrom Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BERGSTROM NP (NPI 1013179217) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (CNP2295) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1013179217
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA BERGSTROMCredential: NP
Location Address178 9TH ST E STE 300Saint Paul, MN 55101-2577
Mailing Address9046 Ogden Ave NeOtsego, MN 55330-7273 · (612) 275-2398
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 28, 2008
Last NPPES UpdateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
NPI 1013179217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · CNP2295
178 9TH ST E STE 300, Saint Paul, MN 55101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Bergstrom Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254409782
PECOS Enrollment IDI20081009000773
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
178 9TH ST E STE 300
SAINT PAUL, MN 55101
Nurse Practitioner (Family)
178 9TH ST E STE 300
SAINT PAUL, MN 55101
Nurse Practitioner (Family)
178 9TH ST E STE 300
SAINT PAUL, MN 55101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Bergstrom's NPI number?

The NPI number for Andrea Bergstrom is 1013179217. It was assigned to this individual provider in the NPPES registry on June 28, 2008.

Where is Andrea Bergstrom located?

Andrea Bergstrom practices at 178 9th St E Ste 300, Saint Paul, MN 55101. The listed phone number is (612) 275-2398.

What is Andrea Bergstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Bergstrom enrolled in Medicare?

Yes. Andrea Bergstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrea Bergstrom was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.