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MRS. KATHERINE FLOOK BERGDALE MSN, RN, CPNP
NPI 1629577069
Nurse Practitioner - Pediatrics in Gainesville, GA

Active since February 11, 2018PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501(770) 219-9445 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 15, 2021, Dec 15, 2020 (2 updates tracked since 2020).

About Mrs. Katherine Flook Bergdale Msn, Rn, Cpnp NPPES

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

MRS. KATHERINE FLOOK BERGDALE MSN, RN, CPNP (NPI 1629577069) is an individual pediatrics provider in Gainesville, Georgia, licensed in Georgia (RN204257) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1629577069
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KATHERINE FLOOK BERGDALECredential: MSN, RN, CPNP
Location Address1439 JESSE JEWELL PKWY NE STE 102Gainesville, GA 30501-3806
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 219-9445
Sole ProprietorNo
Enumeration DateFebruary 11, 2018
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
✔ NPI 1629577069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN204257
1439 JESSE JEWELL PKWY NE STE 102, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Location 1

Location 12049 Beverly RdGainesville, GA 30501-2034 · Phone (770) 287-1788 · Fax (770) 287-7020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katherine Flook Bergdale Msn, Rn, Cpnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Bergdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Georgia Physicians Group Inc
0.5 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

INDRANIE RAMSAROOP
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9675
DIAMOND RICHARDSON MD
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
JESSICA SHAY HAYS DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
RYAN ANTHONY ALMODOVAR DO
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
FELINA THOMAS
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9446
DR. JOTRINEESHA WALTON DO
General Practice
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
WILLIAM K BOSTOCK DO
Family Medicine
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9445
JEANNOT JUNIOR JOSEPH
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
Hall County (770) 219-9446

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 Katherine Bergdale's NPI number?

The NPI number for Katherine Bergdale is 1629577069. It was assigned to this individual provider in the NPPES registry on February 11, 2018.

Where is Katherine Bergdale located?

Katherine Bergdale practices at 1439 Jesse Jewell Pkwy NE Ste 102, Gainesville, GA 30501. The listed phone number is (770) 219-9445.

What is Katherine Bergdale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Katherine Bergdale enrolled in Medicare?

Yes. Katherine Bergdale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Bergdale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Bergdale reassigns Medicare benefits to Northeast Georgia Physicians Group Inc (Gainesville, GA). 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 Katherine Bergdale'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 Katherine Bergdale was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.