MICHAEL G BERGESON CRNA
NPI 1477068294
Nurse Anesthetist, Certified Registered in Centerville, UT
About Michael G Bergeson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL G BERGESON CRNA (NPI 1477068294) is an individual nurse anesthetist, certified registered in Centerville, Utah, licensed in Virginia (0001264680) and active in the NPI registry since December 2017. He maintains a secondary practice location in North Chesterfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael G Bergeson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Bergeson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orem, UT 84057
- Reassigned Medicare billing, Utah enrollment
- 9 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.
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 Michael Bergeson's NPI number?
The NPI number for Michael Bergeson is 1477068294. It was assigned to this individual provider in the NPPES registry on December 4, 2017.
Where is Michael Bergeson located?
Michael Bergeson practices at 136 W 1300 North Cir, Centerville, UT 84014. The listed phone number is (804) 335-7421.
What is Michael Bergeson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Michael Bergeson enrolled in Medicare?
Yes. Michael Bergeson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Bergeson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bergeson reassigns Medicare benefits to Elite Anesthesia Associates (Orem, UT). 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 Michael 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 Michael Bergeson was last updated on April 10, 2020. 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.
# Michael G Bergeson, CRNA · NPI 1477068294
Nurse Anesthetist, Certified Registered physician in Centerville, Utah. Individual provider, active in the CMS NPPES registry since December 4, 2017.
## Identity
- **NPI:** 1477068294 (Entity type: Individual)
- **Enumerated:** December 4, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0001264680 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 136 W 1300 NORTH CIR, Centerville, UT 84014-1400
- **Phone:** (804) 335-7421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Elite Anesthesia Associates (NPI 1922627975, Orem, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1477068294) · Data from the CMS NPPES public registry.