MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) – Internal Medicine Physician, NPI 1144732017

MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) is a healthcare provider. based in Fresno, California. specializing in Internal Medicine Physician. They hold the professional credentials FNP-BC. They hold a License No. 95007057 (CA). The NPI Number for MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) is 1144732017

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE ELIZABETH BERGEN (FNP-BC)
NPI
1144732017
Phone
(559) 439-5757
Address
1275 E SPRUCE AVE STE 101
Enumeration Date
31 October 2017
Last Update Date
22 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594474949
Graduation Year
2017 (9 years ago)
PAC ID
4981960390
Group Practice PAC ID
8022918937
Professional Enrollment ID
I20191209000129
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. MICHELLE ELIZABETH BERGEN (FNP-BC)

  • East Spruce Avenue, Fresno, Fresno County, California, 03619, United States

    FRESNO, CA 937203372

    Phone: (559) 439-5757

    Fax: (559) 437-3943

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,170.

Total Amount is formed as General ($2,170) + Research ($0) + Ownership ($0) = $2,170.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($373).

Total Amount

$2,170

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-12-09

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
I20191209000129INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93720)

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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: 8022918937View full group profile
NameSpecialtyState
Internal Medicine, Hematology/OncologyCA
Surgical OncologyCA
Physician AssistantCA
Nurse PractitionerCA
Hematology/Oncology, Hematology, Medical OncologyCA
-CA
Nurse PractitionerCA
H E M A T O L O G Y/ O N C O L O G YCA
-FL
Medical OncologyMT

Reviews

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Frequently asked questions

What is the registry number for MRS. MICHELLE ELIZABETH BERGEN (FNP-BC)?
The registry entry for MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) shows NPI 1144732017.
Quick check: is MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) active?
Public NPPES data shows MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) with an active NPI status right now.
What does the directory say MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) does?
Insurance directories may phrase it differently, but here MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. MICHELLE ELIZABETH BERGEN (FNP-BC)?
The directory associates MRS. MICHELLE ELIZABETH BERGEN (FNP-BC) with Fresno, California. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. MICHELLE ELIZABETH BERGEN (FNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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