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

NPI Status: Active since May 06, 2014

Contact Information

14121 PARKE LONG CT
SUITE 201
CHANTILLY, VA
ZIP 20151
Phone: (440) 503-8519

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  • Individual
  • Female
  • Nurse Practitioner
  • Gerontology
  • Accepts Insurance

About MARY BETH BERGMAN

This page provides the complete NPI Profile along with additional information for Mary Beth Bergman, a provider established in Chantilly, Virginia with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1184034555 assigned on May 2014. The practitioner's primary taxonomy code is 363LG0600X with license number APRN.CNP.15082 (OH). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1184034555
Provider Name
MARY BETH VALEK BERGMAN CNP
Gender
Female
Entity Type
Individual
Location Address
14121 PARKE LONG CT SUITE 201 CHANTILLY, VA 20151
Location Phone
(440) 503-8519
Mailing Address
14121 PARKE LONG CT SUITE 201 CHANTILLY, VA 20151
Mailing Phone
(440) 503-8519
Is Sole Proprietor?
Yes
Enumeration Date
05-06-2014
Last Update Date
04-18-2017
Code Navigator

A nurse practitioner (NP) like Mary Beth Bergman is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN.CNP.15082
License State
OH

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

APRN.CNP.15082 (OH)
2363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

APRN.CNP.15082 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0103279MEDICAID (05)OH 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184034555, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 0 + 3 + 8 + 5 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1184034555.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151
Clinical Medical Laboratory
14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151
Nurse Practitioner (Adult Health)
14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITES 200 & 201
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Adult Health)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Adult Health)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Registered Nurse (Case Management)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Licensed Practical Nurse
14121 PARKE LONG CT
CHANTILLY, VA 20151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184034555, enumerated as an "individual" on May 06, 2014.

The provider is located at 14121 PARKE LONG CT SUITE 201 CHANTILLY, VA 20151 and the phone number is (440) 503-8519.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.