KYLIE ANN BERGSTROM MSPAS, PA-C
NPI 1457138471
Physician Assistant - Medical in Madison, WI
About Kylie Ann Bergstrom Mspas, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE ANN BERGSTROM MSPAS, PA-C (NPI 1457138471) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (7481) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Kylie Ann Bergstrom Mspas, Pa-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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53792
MADISON, WI 53792
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 Kylie Bergstrom's NPI number?
The NPI number for Kylie Bergstrom is 1457138471. It was assigned to this individual provider in the NPPES registry on September 12, 2023.
Where is Kylie Bergstrom located?
Kylie Bergstrom practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-7502.
What is Kylie Bergstrom's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kylie Bergstrom enrolled in Medicare?
Yes. Kylie Bergstrom 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 Kylie Bergstrom accept?
Health plans from Group Health Cooperative-SCW list Kylie Bergstrom 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 Kylie Bergstrom affiliated with any hospitals?
According to CMS data, Kylie Bergstrom is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Kylie Bergstrom was last updated on December 4, 2023. 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.
# Kylie Ann Bergstrom, MSPAS, PA-C · NPI 1457138471
Medical physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1457138471 (Entity type: Individual)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 7481 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 HIGHLAND AVE, Madison, WI 53792-0001
- **Phone:** (608) 263-7502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457138471) · Data from the CMS NPPES public registry.