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SASHA TOVA BERGERON NP
NPI 1679967889
Nurse Practitioner - Psychiatric/Mental Health in Bethesda, MD

Active since March 25, 2015Opted out of Medicare · through Apr 1, 2027
4833 RUGBY AVE STE 400, BETHESDA, MD 20814(301) 363-2233(240) 696-0177 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2025, Dec 17, 2024, Sep 1, 2016 (3 updates tracked since 2016).

About Sasha Tova Bergeron Np NPPES

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

SASHA TOVA BERGERON NP (NPI 1679967889) is an individual psychiatric/mental health provider in Bethesda, Maryland, licensed in Maryland (R241260) and active in the NPI registry since March 2015. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679967889
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSASHA TOVA BERGERONCredential: NP
Location Address4833 RUGBY AVE STE 400Bethesda, MD 20814-3915
Mailing Address4833 Rugby Ave Ste 400Bethesda, MD 20814-3915 · (301) 363-2233 · Fax (240) 696-0177
Phone(301) 363-2233
Fax(240) 696-0177
Sole ProprietorNo
Enumeration DateMarch 25, 2015
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1679967889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R241260
4833 RUGBY AVE STE 400, Bethesda, MD 20814
Open in Google Maps ↗

Other Names 1

Former Name (1)Sasha Tova Sturman Levine Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sasha Tova Bergeron Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVESTA MENTAL HEALTH
Nurse Anesthetist, Certified Registered
4833 RUGBY AVE STE 400
BETHESDA, MD 20814
Montgomery County (301) 778-1022
MADISON NICOLE CORNWELL FNP
Nurse Practitioner (Family)
4833 RUGBY AVE STE 400
BETHESDA, MD 20814
Montgomery County (540) 550-7779

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 Sasha Bergeron's NPI number?

The NPI number for Sasha Bergeron is 1679967889. It was assigned to this individual provider in the NPPES registry on March 25, 2015. The provider is also known as Sasha Tova Sturman Levine Np.

Where is Sasha Bergeron located?

Sasha Bergeron practices at 4833 Rugby Ave Ste 400, Bethesda, MD 20814. The listed phone number is (301) 363-2233.

What is Sasha Bergeron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sasha Bergeron enrolled in Medicare?

No. Sasha Bergeron has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sasha Bergeron was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.