KIRK BERGMARK (A.P.R.N.,C.N.S.) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1851346654
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
137 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in IL
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Provider Addresses for KIRK BERGMARK (A.P.R.N.,C.N.S.)
12251 S 80TH AVE STE 202
PALOS HEIGHTS, IL 604631290
Phone: (708) 923-7878
Fax: (708) 923-7888
Type: Mailing
Palos Health Surgery Center, 15300, West Avenue, Orland Park, Orland Township, Cook County, Illinois, 60467, United States
SUITE 313
ORLAND PARK, IL 604624600
Phone: (708) 923-7878
Fax: (708) 923-7888
Type: Location
South 80th Avenue, Palos Park, Palos Township, Cook County, Illinois, 60464, United States
PALOS HEIGHTS, IL 604631256
Phone: (708) 923-5173
Fax: (708) 923-5018
Type: Mailing
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: 2013-11-27
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 |
|---|---|---|---|---|
| I20131127000427 | I | Certified Clinical Nurse Specialist (Cns) | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 16 | $0 |
Insurance plans in this area (ZIP 60463)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Vascular Surgery | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| C H I R O P R A C T I C | IL | |
| Family Practice | IL | |
| Physical Medicine And Rehabilitation | CO | |
| - | IL | |
| Hospitalist, Family Practice | IL |
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