EMILY MONTANA BERGERON PHYSICIAN ASSISTANT
NPI 1295376523
Physician Assistant in Tulsa, OK

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
1417 W 78TH ST APT 1213, TULSA, OK 74132(918) 955-9302 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2022, Oct 8, 2019 (2 updates tracked since 2019).

About Emily Montana Bergeron Physician Assistant NPPES

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

EMILY MONTANA BERGERON PHYSICIAN ASSISTANT (NPI 1295376523) is an individual physician assistant in Tulsa, Oklahoma and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295376523
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY MONTANA BERGERONCredential: PHYSICIAN ASSISTANT
Location Address1417 W 78TH ST APT 1213Tulsa, OK 74132-4633
Mailing Address4337 E 57th StTulsa, OK 74135-4237 · (918) 955-9302
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 8, 2019
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
NPI 1295376523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 4722 (OK)
1417 W 78TH ST APT 1213, Tulsa, OK 74132

Accepted 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

Emily Montana Bergeron Physician Assistant 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 ID7012301260
PECOS Enrollment IDI20220303001781
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74132 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Emily Bergeron's NPI number?

The NPI number for Emily Bergeron is 1295376523. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Emily Bergeron located?

Emily Bergeron practices at 1417 W 78th St Apt 1213, Tulsa, OK 74132. The listed phone number is (918) 955-9302.

What is Emily Bergeron's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Bergeron enrolled in Medicare?

Yes. Emily Bergeron 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 Emily Bergeron accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Emily Bergeron 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.

Is Emily Bergeron affiliated with any hospitals?

According to CMS data, Emily Bergeron is affiliated with Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Bergeron was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.