GAIL MARIE BERGIN FNP
NPI 1033123823
Nurse Practitioner - Family in Bronx, NY

Q: What is Gail Bergin's NPI number?

The NPI number for Gail Bergin is 1033123823. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Gail Bergin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gail Bergin was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2006PECOS Enrolled

100/100

CMS Quality Rating

1225 MORRIS PARK AVE, BRONX, NY 10461(718) 430-0038(718) 839-7212 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2023, Jan 14, 2022, Aug 8, 2019 (3 updates tracked since 2019).

On this page

About Gail Marie Bergin Fnp NPPES

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

GAIL MARIE BERGIN FNP (NPI 1033123823) is an individual family provider in Bronx, New York, licensed in New York (F332513) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033123823

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGAIL MARIE BERGINCredential: FNP

Location Address1225 MORRIS PARK AVEBronx, NY 10461-1929

Mailing Address1225 Morris Park AveBronx, NY 10461-1929 · (718) 430-0038 · Fax (718) 839-7212

Phone(718) 430-0038

Fax(718) 839-7212

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 28, 2006

Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1033123823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · F332513✔ Licensed in NJ · NN097771✔ Licensed in NJ · 26NR09777100

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License F400675 (NY)

1225 MORRIS PARK AVE, Bronx, NY 10461

Open in Google Maps ↗

Secondary Practice Locations 2

Location 170 Hilltop Rd Ste 3025Ramsey, NJ 07446-1155 · Phone (201) 488-6678 · Fax (201) 342-4346

Location 2515 Valley St Ste 203Maplewood, NJ 07040-4300 · Phone (908) 663-2929 · Fax (908) 934-9564

Other Identifiers 1

Medicaid8447802NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gail Marie Bergin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002963477

PECOS Enrollment IDI20090422000369, I20090624000007

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.

Medicare Billing Reassignments

Medicare enrollment records show Gail Bergin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center

2.6 mi

Anesthesiology

111 E 210TH ST
Bronx, NY 10467

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1063525152 (914) 378-6021

Arc Healthresources Of Rockland, Inc.

23 mi

Internal Medicine

70 PHILLIPS HILL RD
New City, NY 10956

Reassigned Medicare billing, New York enrollment
20 clinicians in this Medicare group

NPI 1154369056 (845) 267-0110

Stationmd Professional Corporation

24 mi

Emergency Medicine

515 VALLEY ST STE 203
Maplewood, NJ 07040

Reassigned Medicare billing, New Jersey and New York enrollments
38 clinicians in this Medicare group

NPI 1285015347 (908) 663-2929

Finger Lakes United Cerebral Palsy, Inc.

228 mi

Clinic/Center

5415 N BLOOMFIELD RD
Canandaigua, NY 14424

Reassigned Medicare billing, New York enrollment
44 clinicians in this Medicare group

NPI 1194835462 (585) 394-9510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

350 services100 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

82 services53 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330047

Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County

Emergency services Birthing friendly

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

MERRYL A SCHECHTMAN MD

Pediatrics (Developmental - Behavioral Pediatrics)