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MRS. SAMANTHA BERGESEN NP
NPI 1588216345
Nurse Practitioner - Adult Health in Milwaukee, WI

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226(414) 805-6000(414) 805-6280 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 7, 2023, Jul 24, 2019, Jul 15, 2019 and 1 more (4 updates tracked since 2019).

About Mrs. Samantha Bergesen Np NPPES

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

MRS. SAMANTHA BERGESEN NP (NPI 1588216345) is an individual adult health provider in Milwaukee, Wisconsin, licensed in Wisconsin (937733) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1588216345
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SAMANTHA BERGESENCredential: NP
Location Address9200 W WISCONSIN AVE, ELECTROPHYSIOLOGYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave, ElectrophysiologyMilwaukee, WI 53226-3522 · (414) 805-6000 · Fax (414) 805-6280
Phone(414) 805-6000
Fax(414) 805-6280
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2019
Last NPPES UpdateNovember 7, 20234 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1588216345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WI · 937733
Also ListedRegistered NurseTaxonomy 163W00000X · License 190167-30 (WI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 937733 (WI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 937733 (WI)
9200 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14805 S Moorland RdNew Berlin, WI 53151-7401 · Phone (262) 798-7200 · Fax (262) 798-7271
Location 27901 S 6th StOak Creek, WI 53154-2010 · Phone (414) 346-8000 · Fax (414) 346-8010
Location 311430 N Port Washington RdMequon, WI 53092-3414 · Phone (262) 518-1900 · Fax (262) 518-5052

Other Identifiers 1

Medicaid1588216345WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Mrs. Samantha Bergesen Np 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 ID3476880683
PECOS Enrollment IDI20251007004190
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services25 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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 Samantha Bergesen's NPI number?

The NPI number for Samantha Bergesen is 1588216345. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Samantha Bergesen located?

Samantha Bergesen practices at 9200 W Wisconsin Ave Electrophysiology, Milwaukee, WI 53226. The listed phone number is (414) 805-6000.

What is Samantha Bergesen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Samantha Bergesen enrolled in Medicare?

Yes. Samantha Bergesen 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 Samantha Bergesen accept?

Health plans from Blue Cross and Blue Shield of Texas list Samantha Bergesen 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 Samantha Bergesen affiliated with any hospitals?

According to CMS data, Samantha Bergesen is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Bergesen was last updated on November 7, 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.