JENNIFER GORMAN BERGEN FNP-BC, APRN
NPI 1710725767
Nurse Practitioner - Family in Chicago, IL

Active since July 16, 2024PECOS Enrolled
2400 N ASHLAND AVE, CHICAGO, IL 60614(773) 270-5600 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Jul 16, 2024 (2 updates tracked since 2024).

About Jennifer Gorman Bergen Fnp-bc, Aprn NPPES

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

JENNIFER GORMAN BERGEN FNP-BC, APRN (NPI 1710725767) is an individual family provider in Chicago, Illinois, licensed in Illinois (209029984) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710725767
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER GORMAN BERGENCredential: FNP-BC, APRN
Location Address2400 N ASHLAND AVEChicago, IL 60614-0851
Mailing Address2400 N Ashland AveChicago, IL 60614-0851 · (708) 921-5430
Sole ProprietorYes
Enumeration DateJuly 16, 2024
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1710725767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209029984
2400 N ASHLAND AVE, Chicago, IL 60614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Gorman Bergen Fnp-bc, Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 13

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

Clinic/Center
2400 N ASHLAND AVE, SUITE 100
CHICAGO, IL 60614
Physician Assistant
2400 N ASHLAND AVE
CHICAGO, IL 60614
Clinic/Center (Urgent Care)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Family Medicine
2400 N ASHLAND AVE, SUITE 150
CHICAGO, IL 60614
Counselor
2400 N ASHLAND AVE
CHICAGO, IL 60614
Physician Assistant (Medical)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Social Worker (Clinical)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Urology (Pediatric Urology)
2400 N ASHLAND AVE, SUITE 200
CHICAGO, IL 60614

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 Jennifer Bergen's NPI number?

The NPI number for Jennifer Bergen is 1710725767. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Jennifer Bergen located?

Jennifer Bergen practices at 2400 N Ashland Ave, Chicago, IL 60614. The listed phone number is (773) 270-5600.

What is Jennifer Bergen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Bergen enrolled in Medicare?

Yes. Jennifer Bergen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Bergen was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.