1. Home
  2. Directory
  3. North Carolina
  4. Gastonia
  5. Nurse Practitioner
  6. NPI Profile

KELLY MARIE BERGEN NP
NPI 1093183642
Nurse Practitioner - Acute Care in Gastonia, NC

Active since September 11, 2015PECOS EnrolledAccepts Medicare Assignment
2555 COURT DR, SUITE 300, GASTONIA, NC 28054(704) 868-3256(704) 868-5870 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Marie Bergen Np NPPES

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

KELLY MARIE BERGEN NP (NPI 1093183642) is an individual acute care provider in Gastonia, North Carolina, licensed in North Carolina (162782) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093183642
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY MARIE BERGENCredential: NP
Location Address2555 COURT DR, SUITE 300Gastonia, NC 28054-2134
Mailing Address2555 Court Dr, Suite 300Gastonia, NC 28054-2134 · (704) 868-3256 · Fax (704) 868-5870
Phone(704) 868-3256
Fax(704) 868-5870
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 11, 2015
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1093183642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NC · 162782
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 162782 (NC)
2555 COURT DR, Gastonia, NC 28054
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Marie Navarre

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Kelly Marie Bergen 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 ID1658675517
PECOS Enrollment IDI20160212001693
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.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
222 services198 patients
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.
173 services158 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

ANTHONY R ARN MD
Internal Medicine (Interventional Cardiology)
2555 COURT DR, SUITE 300
GASTONIA, NC 28054
Gaston County (704) 868-3256
ADNAN EKRAM M.D.
Family Medicine
2555 COURT DR, SUITE 270
GASTONIA, NC 28054
Gaston County (704) 834-4390
DR. DEMAR AUSTIN NEAL M.D., F.A.C.S.
Surgery (Vascular Surgery)
2555 COURT DR, SUITE 450
GASTONIA, NC 28054
Gaston County (704) 671-7652
EMAD FOUAD MASSOUD MALAK M.D.
Hospitalist
2555 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-4390
CAROMONT SPECIALTY GROUP, LLC
Internal Medicine (Cardiovascular Disease)
2555 COURT DR, SUITE 200
GASTONIA, NC 28054
Gaston County (704) 671-7670
CHARMAINE NIRMALEE LUVIS DO
Internal Medicine
2555 COURT DR, SUITE 270
GASTONIA, NC 28054
Gaston County (704) 671-7650
ANTHONY EDWARD RASPANTI MD
Surgery
2555 COURT DR, SUITE 450
GASTONIA, NC 28054
Gaston County (704) 671-7652
CAROMONT SPECIALTY GROUP LLC
Internal Medicine (Cardiovascular Disease)
2555 COURT DR, STE 200
GASTONIA, NC 28054
Gaston County (704) 671-7670

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 Kelly Bergen's NPI number?

The NPI number for Kelly Bergen is 1093183642. It was assigned to this individual provider in the NPPES registry on September 11, 2015. The provider is also known as Kelly Marie Navarre.

Where is Kelly Bergen located?

Kelly Bergen practices at 2555 Court Dr Suite 300, Gastonia, NC 28054. The listed phone number is (704) 868-3256.

What is Kelly Bergen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelly Bergen enrolled in Medicare?

Yes. Kelly Bergen 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.

What insurance does Kelly Bergen accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Bergen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Bergen affiliated with any hospitals?

According to CMS data, Kelly Bergen is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Bergen was last updated on September 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.