MARY CLARE BERGEN NP
NPI 1356789788
Nurse Practitioner - Family in Providence, RI

Q: What is Mary Clare Bergen's NPI number?

The NPI number for Mary Clare Bergen is 1356789788. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Q: What is Mary Clare Bergen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Clare Bergen was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 07, 2013PECOS EnrolledAccepts Medicare Assignment

1085 N MAIN ST, PROVIDENCE, RI 02904(401) 415-4618(401) 415-4348 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2019, Apr 29, 2019 (2 updates tracked since 2019).

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About Mary Clare Bergen Np NPPES

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

MARY CLARE BERGEN NP (NPI 1356789788) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN00021) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356789788

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY CLARE BERGENCredential: NP

Location Address1085 N MAIN STProvidence, RI 02904

Mailing Address1085 N Main StProvidence, RI 02904-5719 · (401) 415-4618 · Fax (401) 415-4348

Phone(401) 415-4618

Fax(401) 415-4348

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 7, 2013

Last NPPES UpdateNovember 12, 20192 updates tracked since enumeration

✔ NPI 1356789788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in RI · APRN00021

1085 N MAIN ST, Providence, RI 02904

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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

Mary Clare Bergen Np 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 ID2062655384

PECOS Enrollment IDI20130905000146

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 3

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.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

84 services78 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

75 services75 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services24 patients

Hospital Affiliations CMS Care Compare

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JULIE MAZZA DO

Internal Medicine (Hospice and Palliative Medicine)