MR. CASEY KENAN BERGESON – Certified Registered Nurse Anesthetist, NPI 1710246301

MR. CASEY KENAN BERGESON is a healthcare provider. based in Tucson, Arizona. specializing in Certified Registered Nurse Anesthetist. They hold a License No. CRNA0852 (AZ). The NPI Number for MR. CASEY KENAN BERGESON is 1710246301

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. CASEY KENAN BERGESON
NPI
1710246301
Phone
(801) 830-7797
Address
5496 N LITTLE RIVER LN
Enumeration Date
16 May 2012
Last Update Date
3 July 2012

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
5208742000
Graduation Year
2012 (14 years ago)
PAC ID
2961652813
Group Practice PAC ID
1355616517
Professional Enrollment ID
I20121030000489
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MR. CASEY KENAN BERGESON

  • 5496 N LITTLE RIVER LN

    TUCSON, AZ 857041768

    Phone: (801) 830-7797

    Type: Mailing

  • 1501 N CAMPBELL AVE

    TUCSON, AZ 857240001

    Phone: (801) 830-7797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121030000489ICertified Registered Nurse Anesthetist (Crna)AZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope5250$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 85704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355616517View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MR. CASEY KENAN BERGESON for billing?
Administrative and clinical systems typically use NPI 1710246301 for MR. CASEY KENAN BERGESON.
Is MR. CASEY KENAN BERGESON's NPI status active today?
Active status means MR. CASEY KENAN BERGESON's NPI record is not deactivated in the public file.
What does the directory say MR. CASEY KENAN BERGESON does?
Insurance directories may phrase it differently, but here MR. CASEY KENAN BERGESON maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. CASEY KENAN BERGESON?
The directory associates MR. CASEY KENAN BERGESON with Tucson, Arizona. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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