MR. NELVIN GLENN BERGONIA ISON (CRNP) – Registered Nurse, NPI 1447811534

MR. NELVIN GLENN BERGONIA ISON (CRNP) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R176504 (MD). The NPI Number for MR. NELVIN GLENN BERGONIA ISON (CRNP) is 1447811534

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. NELVIN GLENN BERGONIA ISON (CRNP)
NPI
1447811534
Phone
(410) 864-8181
Address
6600 York Rd Ste 207
Enumeration Date
28 June 2019
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105220001
Graduation Year
2018 (8 years ago)
PAC ID
6608108766
Group Practice PAC ID
1759764830
Professional Enrollment ID
I20191023001402
Address ID
MD212245251BA3500XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:6State licenses:2Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MR. NELVIN GLENN BERGONIA ISON (CRNP)

  • 6600 York Rd Ste 207

    Baltimore, MD 212122024

    Phone: (410) 864-8181

    Fax: (410) 510-1766

    Type: Location

  • 104 Plumtree Rd

    Bel Air, MD 210156095

    Phone: (410) 515-4300

    Fax: (410) 601-1052

    Type: Location

  • 200 Hygeia Dr

    Newark, DE 197132049

    Phone: (302) 273-1701

    Fax: (302) 273-4497

    Type: Location

  • CVS Pharmacy, 630, South Exeter Street, Harbor East, Baltimore, Maryland, 21202, United States

    BALTIMORE, MD 212024316

    Phone:

    Type: Mailing

  • 104 PLUMTREE RD

    BEL AIR, MD 210156095

    Phone: (410) 515-4300

    Fax: (410) 601-1052

    Type: Mailing

  • 310 E PULASKI HWY

    ELKTON, MD 219216435

    Phone: (443) 485-6213

    Fax: (443) 485-6226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $413.

Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($116).

Total Amount

$413

General + Research + Ownership

Payments

15

Total payment records

General Amount

$413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191023001402INurse PractitionerMDTBD
I20241107003043INurse PractitionerDETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10494$0
99214Established patient office or other outpatient visit, 30-39 minutes8276$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3836$0
82962Blood glucose (sugar) test performed by hand-held instrument3330$0
87804Detection test by immunoassay with direct visual observation for influenza virus3015$0
View full utilization report →

Insurance plans in this area (ZIP 21212)

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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: 1759764830View full group profile
NameSpecialtyState
Nurse PractitionerDC
Nurse PractitionerMD
Family PracticeVA
Family PracticeNC
Orthopedic SurgeryVA
Nurse PractitionerMD
Family PracticeMD

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Frequently asked questions

Where can patients find MR. NELVIN GLENN BERGONIA ISON (CRNP)'s NPI?
You can confirm MR. NELVIN GLENN BERGONIA ISON (CRNP) with NPI 1447811534; it appears in the national provider directory.
Is MR. NELVIN GLENN BERGONIA ISON (CRNP) active in the national directory?
MR. NELVIN GLENN BERGONIA ISON (CRNP)'s public NPI profile is in an active state.
Does MR. NELVIN GLENN BERGONIA ISON (CRNP) list a primary specialty?
If you are matching referrals, note Registered Nurse for MR. NELVIN GLENN BERGONIA ISON (CRNP). Clinical services aligned with this taxonomy classification.
Where does public data place MR. NELVIN GLENN BERGONIA ISON (CRNP)?
The snapshot lists Baltimore, Maryland for MR. NELVIN GLENN BERGONIA ISON (CRNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.