MARY BETH VALEK BERGMAN CNP
NPI 1184034555
Nurse Practitioner - Gerontology in Chantilly, VA

Q: What is Mary Beth Bergman's NPI number?

The NPI number for Mary Beth Bergman is 1184034555. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Q: What is Mary Beth Bergman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Mary Beth Bergman was last updated on April 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 06, 2014

14121 PARKE LONG CT, SUITE 201, CHANTILLY, VA 20151(440) 503-8519 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary Beth Valek Bergman Cnp NPPES

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

MARY BETH VALEK BERGMAN CNP (NPI 1184034555) is an individual gerontology provider in Chantilly, Virginia, licensed in Ohio (APRN.CNP.15082) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1184034555

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMARY BETH VALEK BERGMANCredential: CNP

Location Address14121 PARKE LONG CT, SUITE 201Chantilly, VA 20151-1647

Mailing Address14121 Parke Long Ct, Suite 201Chantilly, VA 20151-1647 · (440) 503-8519

Phone(440) 503-8519

Sole ProprietorYes

Enumeration DateMay 6, 2014

Last NPPES UpdateApril 18, 2017

✔ NPI 1184034555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.15082

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.15082 (OH)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN.CNP.15082 (OH)

14121 PARKE LONG CT, Chantilly, VA 20151

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Other Identifiers 1

Medicaid0103279OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

CHANTILLY SPECIALISTS, LTD.

Specialist

14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151

Fairfax County (703) 378-3854

CHANTILLY SPECIALISTS, LTD. OF VIRGINIA

Clinical Medical Laboratory

14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151

Fairfax County (571) 251-5471

SUSAN GLENNON NP-C

Nurse Practitioner (Adult Health)

14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151

Fairfax County (571) 512-7287

GEORGIA AMEIA YEN-PATTON GNP-BC, PHD

Nurse Practitioner (Gerontology)

14121 PARKE LONG CT, SUITES 200 & 201
CHANTILLY, VA 20151

Fairfax County (571) 512-7287

STACYE DICK GNP-BC

Nurse Practitioner (Gerontology)

14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151

Fairfax County (571) 449-3585

REGAN HOWE

Nurse Practitioner (Family)

14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151

Fairfax County (571) 287-2403

VALERIE WATSON

Nurse Practitioner (Family)

14121 PARKE LONG CT
CHANTILLY, VA 20151

Fairfax County (703) 722-6955

BINDHU AICKARETH FNP-C

Nurse Practitioner (Family)

14121 PARKE LONG CT
CHANTILLY, VA 20151

Fairfax County (281) 827-7304

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 Mary Beth Bergman's NPI number?

The NPI number for Mary Beth Bergman is 1184034555. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Mary Beth Bergman located?

Mary Beth Bergman practices at 14121 Parke Long Ct Suite 201, Chantilly, VA 20151. The listed phone number is (440) 503-8519.

What is Mary Beth Bergman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

What insurance does Mary Beth Bergman accept?

Health plans from CareSource list Mary Beth Bergman 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 Mary Beth Bergman was last updated on April 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.