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VICTORIA A BERGESON APRN
NPI 1447730916
Nurse Practitioner - Family in Mystic, CT

Active since August 15, 2018PECOS Enrolled
11 MAIN ST STE 202, MYSTIC, CT 06355(860) 912-8444 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Dec 12, 2018, Aug 15, 2018 (3 updates tracked since 2018).

About Victoria A Bergeson Aprn NPPES

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

VICTORIA A BERGESON APRN (NPI 1447730916) is an individual family provider in Mystic, Connecticut, licensed in Connecticut (7765) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447730916
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICTORIA A BERGESONCredential: APRN
Location Address11 MAIN ST STE 202Mystic, CT 06355-3654
Mailing Address11 Main St Ste 202Mystic, CT 06355-3654 · (860) 912-8444
Phone(860) 912-8444
Sole ProprietorNo
Enumeration DateAugust 15, 2018
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1447730916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 7765
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11 MAIN ST STE 202, Mystic, CT 06355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria A Bergeson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Victoria Bergeson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartford Healthcare Urgent Care Centers, LLC
56 mi
Urgent Care
385 W MAIN ST
Avon, CT 06001
  • Reassigned Medicare billing, Connecticut enrollment
  • 182 clinicians in this Medicare group
NPI 1093239683 (860) 777-1280
Matrix Medical Plus
875 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Connecticut enrollment
  • 79 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Victoria Bergeson's NPI number?

The NPI number for Victoria Bergeson is 1447730916. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Victoria Bergeson located?

Victoria Bergeson practices at 11 Main St Ste 202, Mystic, CT 06355. The listed phone number is (860) 912-8444.

What is Victoria Bergeson's specialty?

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

Is Victoria Bergeson enrolled in Medicare?

Yes. Victoria Bergeson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Victoria Bergeson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Bergeson reassigns Medicare benefits to 2 organizations: Hartford Healthcare Urgent Care Centers, LLC (Avon, CT) and Matrix Medical Plus (Nashville, TN). Each 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 Victoria Bergeson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Bergeson was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.