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DR. LAURIE L. BERGNER PH.D.
NPI 1164538393
Psychologist - Clinical in Bloomington, IL

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
901 E GROVE ST, BLOOMINGTON, IL 61701(309) 828-6821 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laurie L. Bergner Ph.d. NPPES

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

DR. LAURIE L. BERGNER PH.D. (NPI 1164538393) is an individual clinical provider in Bloomington, Illinois and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1164538393
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAURIE L. BERGNERCredential: PH.D.
Location Address901 E GROVE STBloomington, IL 61701-4200
Mailing Address502 S Blair DrNormal, IL 61761-3110 · (309) 454-3113
Phone(309) 828-6821
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164538393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
901 E GROVE ST, Bloomington, IL 61701
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Other Identifiers 1

Medicare ID-Type Unspecified212578IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Laurie L. Bergner Ph.d. 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 ID4385663566
PECOS Enrollment IDI20051116000892
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
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 4

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

TODD MICHAEL NELSON M.S., L.C.P.C.
Counselor (Mental Health)
901 E GROVE ST, SUITE T.
BLOOMINGTON, IL 61701
McLean County (309) 532-3104
DR. RAYMOND MICHAEL BERGNER PH.D.
Psychologist (Clinical)
901 E GROVE ST
BLOOMINGTON, IL 61701
McLean County (309) 828-6821
DR. KAREN S. PFOST PH.D.
Psychologist (Clinical)
901 E GROVE ST, SUITE F
BLOOMINGTON, IL 61701
McLean County (309) 663-7089
DR. ALVIN E. HOUSE PH.D.
Psychologist (Clinical)
901 E GROVE ST, SUITE F
BLOOMINGTON, IL 61701
McLean County (309) 826-3633

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 Laurie Bergner's NPI number?

The NPI number for Laurie Bergner is 1164538393. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Laurie Bergner located?

Laurie Bergner practices at 901 E Grove St, Bloomington, IL 61701. The listed phone number is (309) 828-6821.

What is Laurie Bergner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laurie Bergner enrolled in Medicare?

Yes. Laurie Bergner 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 Laurie Bergner accept?

Health plans from Providence Health Plan list Laurie Bergner 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.

When was this NPI record last updated?

The NPPES record for Laurie Bergner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.