JACOB ANDREW BERGGREN DO
NPI 1699460642
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Q: What is Jacob Berggren's NPI number?

The NPI number for Jacob Berggren is 1699460642. It was assigned to this individual provider in the NPPES registry on April 6, 2023. The provider is also known as Jake Andrew Berggren.

Q: What is Jacob Berggren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Berggren was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2023PECOS Enrolled

1400 W 22ND ST, SIOUX FALLS, SD 57105(605) 322-5737 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jacob Andrew Berggren Do NPPES

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

JACOB ANDREW BERGGREN DO (NPI 1699460642) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699460642

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB ANDREW BERGGRENCredential: DO

Location Address1400 W 22ND STSioux Falls, SD 57105-1554

Mailing Address18807 Chandler StOmaha, NE 68136-1224 · (402) 639-7325

Phone(605) 322-5737

Sole ProprietorNo

Enumeration DateApril 6, 2023

NPPES CertifiedApril 6, 2023

✔ NPI 1699460642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 W 22ND ST, Sioux Falls, SD 57105

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Other Names 1

Other Name (5)Jake Andrew Berggren

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Andrew Berggren Do 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.

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.

MARIA SEBALIA KOENEN MD

Student in an Organized Health Care Education/Training Program