MRS. KIMBERLY ANNE BERGGREN (PA-C) – Physician Assistant, NPI 1730349242
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. KIMBERLY ANNE BERGGREN (PA-C)
9TH MEDICAL GROUP
307 BOATNER RD, STE 114
EGLIN AFB, FL 325421282
Phone: (850) 883-8132
Type: Mailing
2190 HIGHWAY 85 N
NICEVILLE, FL 32578
Phone: (850) 678-4131
Type: Location
Meigs Drive, Lake Lorraine, Shalimar, Okaloosa County, Florida, 32579, United States
SHALIMAR, FL 325792200
Phone: (661) 874-2323
Type: Mailing
96TH MEDICAL GROUP
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 325421282
Phone: (508) 838-1328
Fax: (850) 862-4423
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $3,514.
Total Amount is formed as General ($3,514) + Research ($0) + Ownership ($0) = $3,514.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Boston Scientific Corporation ($1,689).
Total Amount
$3,514
General + Research + Ownership
Payments
40
Total payment records
General Amount
$3,514
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-09-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040929000397 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 70 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | OH |
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