ALYCEAN MARYRAE BERGH D.C.
NPI 1326436064
Chiropractor in Blaine, MN
About Alycean Maryrae Bergh D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYCEAN MARYRAE BERGH D.C. (NPI 1326436064) is an individual chiropractor in Blaine, Minnesota, licensed in Minnesota (6018) and active in the NPI registry since January 2015. She is a graduate of Northwestern College Of Chiropractic (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alycean Maryrae Bergh D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Alycean Bergh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alycean Bergh's NPI number?
The NPI number for Alycean Bergh is 1326436064. It was assigned to this individual provider in the NPPES registry on January 5, 2015.
Where is Alycean Bergh located?
Alycean Bergh practices at 10950 Club West Pkwy Ste 190, Blaine, MN 55449. The listed phone number is (763) 400-4940.
What is Alycean Bergh's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Alycean Bergh enrolled in Medicare?
Yes. Alycean Bergh 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.
Which organization bills Medicare for Alycean Bergh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alycean Bergh reassigns Medicare benefits to Club West Chiropractic PA (Blaine, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alycean Bergh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alycean Bergh accept?
Health plans from HealthPartners list Alycean Bergh 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 Alycean Bergh was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alycean Maryrae Bergh, D.C. · NPI 1326436064
Chiropractor provider in Blaine, Minnesota. Individual provider, active in the CMS NPPES registry since January 5, 2015.
## Identity
- **NPI:** 1326436064 (Entity type: Individual)
- **Enumerated:** January 5, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6018 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 10950 CLUB WEST PKWY STE 190, Blaine, MN 55449-4679
- **Phone:** (763) 400-4940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Club West Chiropractic PA (NPI 1427447432, Blaine, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 2014
## Record status
- **NPPES last updated:** January 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1326436064) · Data from the CMS NPPES public registry.