KYLE T BERGAN DNP, APRN, FNP-C
NPI 1114490224
Nurse Practitioner in Rockford, IL

Q: What is Kyle Bergan's NPI number?

The NPI number for Kyle Bergan is 1114490224. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Q: What is Kyle Bergan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Bergan was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 11, 2019PECOS EnrolledAccepts Medicare Assignment

5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2024, Aug 22, 2021, Apr 26, 2021 and 1 more (4 updates tracked since 2019).

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About Kyle T Bergan Dnp, Aprn, Fnp-c NPPES

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

KYLE T BERGAN DNP, APRN, FNP-C (NPI 1114490224) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209017205) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Mile Bluff Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114490224

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameKYLE T BERGANCredential: DNP, APRN, FNP-C

Location Address5875 E RIVERSIDE BLVDRockford, IL 61114-4937

Mailing Address1700 W Summerdale Ave Apt BsmtChicago, IL 60640-2068 · (217) 714-4713

Phone(815) 398-9491

Fax(815) 381-7498

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 11, 2019

Last NPPES UpdateAugust 21, 20244 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1114490224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 209017205✔ Licensed in MI · 4704285087

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR20578200 (NJ)

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 28268975A (IN), 041389716 (IL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209017205 (IL), 26NJ000891500 (NJ), 71011442A (IN)

5875 E RIVERSIDE BLVD, Rockford, IL 61114

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Secondary Practice Locations 2

Location 117960 Halsted StHomewood, IL 60430-2014 · Phone (708) 922-0911

Location 25020 Dempster StSkokie, IL 60077-1835 · Phone (708) 922-0911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Group Health Cooperative-SCW.Insurance ›

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

Kyle T Bergan Dnp, Aprn, Fnp-c 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 ID6204262264

PECOS Enrollment IDI20250930002499

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 Kyle Bergan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthomidwest, PLLC

3.5 mi

Orthopaedic Surgery

324 ROXBURY RD
Rockford, IL 61107

Reassigned Medicare billing, Illinois enrollment
562 clinicians in this Medicare group

NPI 1730136474 (815) 398-9491

Physicians Immediate Care North Chicago LLC

69 mi

Urgent Care

4211 N CICERO AVE, SUITE 100
Chicago, IL 60641

Reassigned Medicare billing, Illinois enrollment
366 clinicians in this Medicare group

NPI 1205814118 (815) 713-2738

Mile Bluff Medical Center Inc

97 mi

Rural Health

28 COMMERCE ST
Wisconsin Dells, WI 53965

Reassigned Medicare billing, Wisconsin enrollment
189 clinicians in this Medicare group

NPI 1487734380 (608) 254-5888

Pic Indiana PC

150 mi

Urgent Care

505 W CLEVELAND RD
Mishawaka, IN 46545

Reassigned Medicare billing, Indiana enrollment
166 clinicians in this Medicare group

NPI 1942546890 (815) 713-2600

Wellnow Urgent Care, PC

652 mi

Urgent Care

7375 OSWEGO RD, SUITE1
Liverpool, NY 13090

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Wellnow Urgent Care, P.C.
195 clinicians in this Medicare group

NPI 1669825162 (716) 699-9032

Jersey Irish Medical

759 mi

Urgent Care

601 W. UNION AVE.
Bound Brook, NJ 08805

Reassigned Medicare billing, New Jersey enrollment
125 clinicians in this Medicare group

NPI 1144575739 (732) 469-3627

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 11

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 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.

159 services141 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

140 services17 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

42 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 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.

31 services31 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

28 services20 patients

Hospital Affiliations CMS Care Compare

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

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI

OwnershipProprietary

CMS Certification Number520109

Location1050 Division StMauston, WI 53948 · Juneau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

DR. LIZA A DAFCHAHI SHIRANI MD

Anesthesiology