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PATRICIA D. BERGLUND PA
NPI 1699782045
Physician Assistant - Medical in Boise, ID

Active since August 01, 2006PECOS Enrolled
500 W FORT ST, BOISE, ID 83702(208) 422-1000(208) 422-1952 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia D. Berglund Pa NPPES

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

PATRICIA D. BERGLUND PA (NPI 1699782045) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA-30) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699782045
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePATRICIA D. BERGLUNDCredential: PA
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address500 W Fort StBoise, ID 83702-4501 · (208) 422-1000 · Fax (208) 422-1952
Phone(208) 422-1000
Fax(208) 422-1952
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699782045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-30
500 W FORT ST, Boise, ID 83702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia D. Berglund Pa 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.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Patricia Berglund's NPI number?

The NPI number for Patricia Berglund is 1699782045. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Patricia Berglund located?

Patricia Berglund practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Patricia Berglund's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Patricia Berglund enrolled in Medicare?

Yes. Patricia Berglund is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patricia Berglund was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.