KELLY MARIE BERGEN NP
NPI 1093183642
Nurse Practitioner - Acute Care in Gastonia, NC
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
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Bergen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 673 clinicians in this Medicare group
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.
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, NCPhysician 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.
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.
GASTONIA, NC 28054
GASTONIA, NC 28054
GASTONIA, NC 28054
GASTONIA, NC 28054
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.
Which organization bills Medicare for Kelly Bergen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bergen reassigns Medicare benefits to Caromont Medical Group Inc (Gastonia, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Bergen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Kelly Marie Bergen, NP · NPI 1093183642
Acute Care physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since September 11, 2015.
## Identity
- **NPI:** 1093183642 (Entity type: Individual)
- **Enumerated:** September 11, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 162782 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2555 COURT DR, SUITE 300, Gastonia, NC 28054-2134
- **Phone:** (704) 868-3256 · **Fax:** (704) 868-5870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Caromont Medical Group Inc (NPI 1235429390, Gastonia, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 29, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1093183642) · Data from the CMS NPPES public registry.