KYLIE ANN BERGSTROM MSPAS, PA-C
NPI 1457138471
Physician Assistant - Medical in Madison, WI

Active since September 12, 2023PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-7502 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1457138471
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKYLIE ANN BERGSTROMCredential: MSPAS, PA-C
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 12, 2023
Last NPPES UpdateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
NPI 1457138471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 7481
Also ListedPhysician AssistantTaxonomy 363A00000X · License 7481 (WI)
600 HIGHLAND AVE, Madison, WI 53792

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.

PECOS PAC ID6709237837
PECOS Enrollment IDI20240112001815
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.

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, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

Emergency Medicine
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Diagnostic Radiology)
600 HIGHLAND AVE
MADISON, WI 53792
Neurological Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Psychiatry & Neurology (Neurology)
600 HIGHLAND AVE
MADISON, WI 53792
Psychiatry & Neurology (Neurology)
600 HIGHLAND AVE
MADISON, WI 53792
Nurse Practitioner
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Diagnostic Radiology)
600 HIGHLAND AVE
MADISON, WI 53792
Physician Assistant
600 HIGHLAND AVE
MADISON, WI 53792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457138471, enumerated as an "individual" on September 12, 2023.

The provider is located at 600 HIGHLAND AVE MADISON, WI 53792 and the phone number is (608) 263-7502.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Group Health Cooperative-SCW. Please consult your insurance carrier or call the provider to verify.

Kylie Bergstrom is affiliated with: UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY.