NICOLLE A BERGIN
NPI 1093377954
Nurse Practitioner - Adult Health in North Babylon, NY

Q: What is Nicolle Bergin's NPI number?

The NPI number for Nicolle Bergin is 1093377954. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Q: What is Nicolle Bergin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicolle Bergin was last updated on July 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment

1231 DEER PARK AVE, NORTH BABYLON, NY 11703(631) 667-0388(631) 968-7705 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicolle A Bergin NPPES

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

NICOLLE A BERGIN (NPI 1093377954) is an individual adult health provider in North Babylon, New York, licensed in New York (F309189-01) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).

NPPES Registry Identity

NPI1093377954

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameNICOLLE A BERGIN

Location Address1231 DEER PARK AVENorth Babylon, NY 11703-3104

Mailing Address1231 Deer Park AveNorth Babylon, NY 11703-3104 · (631) 667-0388 · Fax (631) 968-7705

Phone(631) 667-0388

Fax(631) 968-7705

Sole ProprietorYes

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019

Enumeration DateJuly 1, 2019

✔ NPI 1093377954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F309189-01

1231 DEER PARK AVE, North Babylon, NY 11703

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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

Nicolle A Bergin 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 ID5597090258

PECOS Enrollment IDI20190717002674

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

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.

18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11703 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier24 claims378 services$4.25 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier24 claims3,786 services$0.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. MAHMOOD AFGHANI MD

Family Medicine