NICKOLAS BERNHAGEN (DPT) – Physical Therapist, NPI 1376300988

NICKOLAS BERNHAGEN (DPT) is a healthcare provider. based in Cedar rapids, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 122707 (IA). The NPI Number for NICKOLAS BERNHAGEN (DPT) is 1376300988

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NICKOLAS BERNHAGEN (DPT)
NPI
1376300988
Phone
(319) 200-6102
Address
218 4TH AVE SW
Enumeration Date
29 February 2024
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3192006102
Graduation Year
2023 (3 years ago)
PAC ID
7416395819
Group Practice PAC ID
7719105063
Professional Enrollment ID
I20240404001404
Address ID
IA524045720CE218XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for NICKOLAS BERNHAGEN (DPT)

  • 218 4TH AVE SW

    CEDAR RAPIDS, IA 524045720

    Phone: (319) 200-6102

    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)

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: 2024-04-04

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
I20240404001404IPhysical Therapist In Private PracticeIATBD

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 52404)

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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: 7719105063View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

What NPI should I save for NICKOLAS BERNHAGEN (DPT)?
Save NPI 1376300988 if you need a stable reference for NICKOLAS BERNHAGEN (DPT).
Is NICKOLAS BERNHAGEN (DPT) currently active in the NPI registry?
CMS-published data lists NICKOLAS BERNHAGEN (DPT) as an active registrant.
Can you summarize NICKOLAS BERNHAGEN (DPT)'s specialty in plain language?
Clinically, the directory lists NICKOLAS BERNHAGEN (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is NICKOLAS BERNHAGEN (DPT)'s primary listing?
We display Cedar Rapids, Iowa because that is what the record indicates for NICKOLAS BERNHAGEN (DPT).
Is NICKOLAS BERNHAGEN (DPT) a real provider?
This page reflects official NPPES data for NPI 1376300988. Always confirm identity and privileges with the practice and licensing boards.

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