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KJERSTI OLIVIA VAN BERGEN NP
NPI 1679324735
Nurse Practitioner - Gerontology in Minneapolis, MN

Active since March 28, 2024PECOS EnrolledAccepts Medicare Assignment
715 S 8TH ST, MINNEAPOLIS, MN 55404(612) 873-6963 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kjersti Olivia Van Bergen Np NPPES

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

KJERSTI OLIVIA VAN BERGEN NP (NPI 1679324735) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (11316) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains a secondary practice location in Golden Valley.

NPPES Registry Identity

NPI1679324735
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKJERSTI OLIVIA VAN BERGENCredential: NP
Location Address715 S 8TH STMinneapolis, MN 55404-7530
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Phone(612) 873-6963
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 28, 2024
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1679324735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MN · 11316
715 S 8TH ST, Minneapolis, MN 55404
Open in Google Maps ↗

Secondary Practice Location 1

Location 14225 Golden Valley RdGolden Valley, MN 55422-4215 · Phone (763) 302-4172 · Fax (763) 287-2303

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kjersti Olivia Van Bergen 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 ID9436693512
PECOS Enrollment IDI20240701000188
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 Reassignments

2

Medicare enrollment records show Kjersti Van Bergen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hennepin Healthcare System, Inc
1.5 mi
Clinic/Center
300 S 6TH ST, GOVERNMENT CENTER-A 120
Minneapolis, MN 55487
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1528361573 (612) 348-4628
Minneapolis Clinic Of Neurology, Ltd
4.5 mi
Neurology
4225 GOLDEN VALLEY RD
Golden Valley, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 80 clinicians in this Medicare group
NPI 1992739247 (763) 588-0661

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

Hospital Affiliations CMS Care Compare

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

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

SARAH E JOHNSON RD LD
Dietitian, Registered
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
ANISHA RIMAL M.D.
Pediatrics
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
KYLIE MARIE JACKSON RN
Registered Nurse (Emergency)
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
DR. DIANA B CUTTS MD
Pediatrics
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
AIMEE M TRITT RD, LD
Dietitian, Registered
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
REGAN M TRUTTSCHEL PHARMD
Pharmacist (Pharmacotherapy)
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963
KIMBERLY J WOOD RD
Dietitian, Registered
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6800
LOUIS PHILLIP KOHL III MD
Internal Medicine (Interventional Cardiology)
715 S 8TH ST
MINNEAPOLIS, MN 55404
Hennepin County (612) 873-6963

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 Kjersti Van Bergen's NPI number?

The NPI number for Kjersti Van Bergen is 1679324735. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Kjersti Van Bergen located?

Kjersti Van Bergen practices at 715 S 8th St, Minneapolis, MN 55404. The listed phone number is (612) 873-6963.

What is Kjersti Van Bergen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kjersti Van Bergen enrolled in Medicare?

Yes. Kjersti Van Bergen 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.

Which organizations bill Medicare for Kjersti Van Bergen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kjersti Van Bergen reassigns Medicare benefits to 2 organizations: Hennepin Healthcare System, Inc (Minneapolis, MN) and Minneapolis Clinic Of Neurology, Ltd (Golden Valley, MN). Each 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 Kjersti Van Bergen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kjersti Van Bergen accept?

Health plans from HealthPartners list Kjersti Van Bergen 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 Kjersti Van Bergen affiliated with any hospitals?

According to CMS data, Kjersti Van Bergen is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for Kjersti Van Bergen was last updated on October 28, 2024. 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.