MICHELE JEAN BERGMANN RN
NPI 1902166481
Nurse Practitioner - Primary Care in Portland, OR

Active since May 18, 2012PECOS Enrolled
1040 NW 22ND AVE, STE 500, PORTLAND, OR 97210(503) 227-5050 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Mar 17, 2017 (2 updates tracked since 2017).

About Michele Jean Bergmann Rn NPPES

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

MICHELE JEAN BERGMANN RN (NPI 1902166481) is an individual primary care provider in Portland, Oregon, licensed in Oregon (201501470NP-PP) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902166481
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMICHELE JEAN BERGMANNCredential: RN
Location Address1040 NW 22ND AVE, STE 500Portland, OR 97210-3057
Mailing Address1014 N Springbrook Rd, Ste BNewberg, OR 97132-2061 · (503) 449-8988 · Fax (503) 894-9194
Sole ProprietorNo
Enumeration DateMay 18, 2012
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
NPI 1902166481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OR · 201501470NP-PP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 201501470NP-PP (OR)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 201501470NP-PP (OR)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 201501470NP-PP (OR)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 201501470NP-PP (OR)
1040 NW 22ND AVE, Portland, OR 97210

Other Names 1

Former Name (1)Michele Jean Robinson Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michele Jean Bergmann Rn 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 97210 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

Specialist
1040 NW 22ND AVE, SUITE 660
PORTLAND, OR 97210
Physical Medicine & Rehabilitation
1040 NW 22ND AVE, SUITE 320
PORTLAND, OR 97210
Audiologist
1040 NW 22ND AVE, SUITE 460
PORTLAND, OR 97210
Colon & Rectal Surgery
1040 NW 22ND AVE, SUITE 540
PORTLAND, OR 97210
Nurse Practitioner (Adult Health)
1040 NW 22ND AVE, SUITE 420
PORTLAND, OR 97210
Physician Assistant (Surgical)
1040 NW 22ND AVE, SUITE 500
PORTLAND, OR 97210
Surgery (Surgical Oncology)
1040 NW 22ND AVE, SUITE 540
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1040 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210

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 Michele Bergmann's NPI number?

The NPI number for Michele Bergmann is 1902166481. It was assigned to this individual provider in the NPPES registry on May 18, 2012. The provider is also known as Michele Jean Robinson Rn.

Where is Michele Bergmann located?

Michele Bergmann practices at 1040 NW 22nd Ave Ste 500, Portland, OR 97210. The listed phone number is (503) 227-5050.

What is Michele Bergmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Michele Bergmann enrolled in Medicare?

Yes. Michele Bergmann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michele Bergmann was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.