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MRS. SHELLY KAY BERGUM NP
NPI 1487854691
Nurse Practitioner - Acute Care in Sacramento, CA

Active since July 25, 2007PECOS Enrolled
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-5538(916) 734-0907 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shelly Kay Bergum Np NPPES

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

MRS. SHELLY KAY BERGUM NP (NPI 1487854691) is an individual acute care provider in Sacramento, California, licensed in California (17398) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487854691
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. SHELLY KAY BERGUMCredential: NP
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address2315 Stockton BlvdSacramento, CA 95817-2201 · (916) 734-5538 · Fax (916) 734-0907
Phone(916) 734-5538
Fax(916) 734-0907
Sole ProprietorYes
Enumeration DateJuly 25, 2007
✔ NPI 1487854691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 17398
2315 STOCKTON BLVD, Sacramento, CA 95817
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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 (PECOS)

Mrs. Shelly Kay Bergum Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier11 claims11 services$44.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

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 Shelly Bergum's NPI number?

The NPI number for Shelly Bergum is 1487854691. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Shelly Bergum located?

Shelly Bergum practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-5538.

What is Shelly Bergum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shelly Bergum enrolled in Medicare?

Yes. Shelly Bergum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelly Bergum was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.