SAMUEL BERGENER CRNA
NPI 1780724419
Nurse Anesthetist, Certified Registered in Farmington, NM

Q: What is Samuel Bergener's NPI number?

The NPI number for Samuel Bergener is 1780724419. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Q: What is Samuel Bergener's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Bergener was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 08, 2007Accepts Medicare Assignment

801 W MAPLE ST, FARMINGTON, NM 87401(505) 609-2000 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2025, Jan 31, 2023, Apr 12, 2021 (3 updates tracked since 2021).

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About Samuel Bergener Crna NPPES

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

SAMUEL BERGENER CRNA (NPI 1780724419) is an individual nurse anesthetist, certified registered in Farmington, New Mexico, licensed in New Mexico (63318) and active in the NPI registry since February 2007. He is affiliated with San Juan Regional Medical Center Inc, maintains a secondary practice location in Bellevue, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2006).

NPPES Registry Identity

NPI1780724419

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSAMUEL BERGENERCredential: CRNA

Location Address801 W MAPLE STFarmington, NM 87401-5630

Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259

Phone(505) 609-2000

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2006

Enumeration DateFebruary 8, 2007

Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1780724419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in NM · 63318✔ Licensed in WA · MB2468470✔ Licensed in ID · N-26821

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

801 W MAPLE ST, Farmington, NM 87401

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Secondary Practice Location 1

Location 111511 NE 10th StBellevue, WA 98004-8578 · Phone (425) 502-3000 · Fax (425) 502-3589

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Bergener Crna 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 ID9537252069

PECOS Enrollment IDI20230112002564

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

19 services19 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

14 services14 patients

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320005

Location801 West Maple StreetFarmington, NM 87401 · San Juan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

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.

MRS. REBECCA JO MUNOZ PTA

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