Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMANDA LEE BERGMAN
NPI 1215834544
Nurse Practitioner in Genoa, OH

Q: What is Amanda Bergman's NPI number?

The NPI number for Amanda Bergman is 1215834544. It was assigned to this individual provider in the NPPES registry on October 21, 2026.

Q: What is Amanda Bergman'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 Amanda Bergman was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 October 21, 2026

217 E 11TH ST, GENOA, OH 43430(419) 309-9894 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Amanda Lee Bergman NPPES

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

AMANDA LEE BERGMAN (NPI 1215834544) is an individual nurse practitioner in Genoa, Ohio, licensed in Ohio (0043702) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1215834544

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA LEE BERGMAN

Location Address217 E 11TH STGenoa, OH 43430-1411

Mailing Address217 E 11th StGenoa, OH 43430-1411 · (419) 309-9894

Phone(419) 309-9894

Sole ProprietorNo

Enumeration DateOctober 21, 2026

NPPES CertifiedOctober 21, 2026

✔ NPI 1215834544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · 0043702

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.

217 E 11TH ST, Genoa, OH 43430

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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 Amanda Bergman's NPI number?

The NPI number for Amanda Bergman is 1215834544. It was assigned to this individual provider in the NPPES registry on October 21, 2026.

Where is Amanda Bergman located?

Amanda Bergman practices at 217 E 11th St, Genoa, OH 43430. The listed phone number is (419) 309-9894.

What is Amanda Bergman's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Bergman was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.