MR. MARK ANTHONY BERGONIA ISON CRNP- PMH
NPI 1881152783
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since March 09, 2019PECOS EnrolledAccepts Medicare Assignment
1501 SULGRAVE AVE STE 200, BALTIMORE, MD 21209(443) 708-5856 Get Directions Write a Review

NPPES record last updated: March 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Anthony Bergonia Ison Crnp- Pmh NPPES

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

MR. MARK ANTHONY BERGONIA ISON CRNP- PMH (NPI 1881152783) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R181848) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881152783
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MARK ANTHONY BERGONIA ISONCredential: CRNP- PMH
Location Address1501 SULGRAVE AVE STE 200Baltimore, MD 21209-3650
Mailing Address1501 Sulgrave Ave Ste 200Baltimore, MD 21209-3650
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 9, 2019
NPI 1881152783 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 · R181848
1501 SULGRAVE AVE STE 200, Baltimore, MD 21209

Accepted Insurance

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

Mr. Mark Anthony Bergonia Ison Crnp- Pmh 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 ID2961834361
PECOS Enrollment IDI20191122000569
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services26 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
112 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 19

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

Nurse Practitioner (Psychiatric/Mental Health)
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209
Nurse Practitioner (Psychiatric/Mental Health)
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209
Social Worker (Clinical)
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209
Clinic/Center (Mental Health (Including Community Mental Health Center))
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209
Counselor (Mental Health)
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209
Counselor (Professional)
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209
Social Worker (Clinical)
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209
Psychiatry & Neurology (Psychiatry)
1501 SULGRAVE AVE STE 200
BALTIMORE, MD 21209

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 Mark Anthony Ison's NPI number?

The NPI number for Mark Anthony Ison is 1881152783. It was assigned to this individual provider in the NPPES registry on March 9, 2019.

Where is Mark Anthony Ison located?

Mark Anthony Ison practices at 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209. The listed phone number is (443) 708-5856.

What is Mark Anthony Ison's specialty?

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

Is Mark Anthony Ison enrolled in Medicare?

Yes. Mark Anthony Ison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Anthony Ison accept?

Health plans from Providence Health Plan list Mark Anthony Ison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Anthony Ison was last updated on March 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.