KRISTIN GOERTZ BERGSTROM
NPI 1881528495
Optometrist in Omaha, NE

Q: What is Kristin Bergstrom's NPI number?

The NPI number for Kristin Bergstrom is 1881528495. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Q: What is Kristin Bergstrom's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Bergstrom was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 09, 2026PECOS Enrolled

15655 PACIFIC ST STE 101, OMAHA, NE 68118(402) 697-5122 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kristin Goertz Bergstrom NPPES

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

KRISTIN GOERTZ BERGSTROM (NPI 1881528495) is an individual optometrist in Omaha, Nebraska, licensed in Nebraska (1693) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2026).

NPPES Registry Identity

NPI1881528495

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKRISTIN GOERTZ BERGSTROM

Location Address15655 PACIFIC ST STE 101Omaha, NE 68118-2114

Mailing Address1655 N Main St Apt FElkhorn, NE 68022-4365

Phone(402) 697-5122

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2026

Enumeration DateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1881528495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NE · 1693✔ Licensed in IA · 138173

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

15655 PACIFIC ST STE 101, Omaha, NE 68118

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Goertz Bergstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810454329

PECOS Enrollment IDI20260805000339

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.

Medicare Billing Reassignments

Medicare enrollment records show Kristin Bergstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Klute Optometry Services, LLC

Same address

Optometrist

15655 PACIFIC ST STE 101
Omaha, NE 68118

Reassigned Medicare billing, Nebraska enrollment
2 clinicians in this Medicare group

NPI 1215579180 (402) 697-5122

Gle Glenwood LLC

26 mi

Optometrist

406 1ST ST
Glenwood, IA 51534

Reassigned Medicare billing, Iowa enrollment
6 clinicians in this Medicare group

NPI 1821709957 (712) 527-4468

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68118 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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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

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

KLUTE OPTOMETRY SERVICES, LLC

Optometrist

15655 PACIFIC ST STE 101
OMAHA, NE 68118

Douglas County (402) 697-5122

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 Kristin Bergstrom's NPI number?

The NPI number for Kristin Bergstrom is 1881528495. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Kristin Bergstrom located?

Kristin Bergstrom practices at 15655 Pacific St Ste 101, Omaha, NE 68118. The listed phone number is (402) 697-5122.

What is Kristin Bergstrom's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kristin Bergstrom enrolled in Medicare?

Yes. Kristin Bergstrom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristin Bergstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Bergstrom reassigns Medicare benefits to 2 organizations: Klute Optometry Services, LLC (Omaha, NE) and Gle Glenwood LLC (Glenwood, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Bergstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Bergstrom accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kristin Bergstrom 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 Kristin Bergstrom was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.