KATHLYN BERGERON (APRN-CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720420243
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
104 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MN
Provider Addresses for KATHLYN BERGERON (APRN-CNP)
1900 SILVER LAKE RD NW
SUITE 110
NEW BRIGHTON, MN 551121786
Phone: (651) 628-9566
Fax: (651) 628-0411
Type: Mailing
1811 WEIR DR
SUITE 270
WOODBURY, MN 551252272
Phone: (651) 714-9646
Fax: (951) 714-9647
Type: Location
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 551121789
Phone: (651) 628-9566
Fax: (651) 628-0411
Type: Mailing
1811 WEIR DR STE 270
WOODBURY, MN 551256741
Phone: (651) 714-9646
Fax: (951) 714-9647
Type: Location
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: 2025-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20130813000943 | I | Certified Clinical Nurse Specialist (Cns) | MN | TBD |
| I20210831003075 | I | Nurse Practitioner | WI | TBD |
| I20251013002404 | I | Nurse Practitioner | IA | 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 | 178 | 57 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 37 | 27 | $0 |
Insurance plans in this area (ZIP 55112)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | MN | 90792 | Psychiatric diagnostic evaluation with medical services | 40 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Mental Health Counselor | MN | |
| Marriage And Family Therapist | MN | |
| Clinical Psychologist | MN | |
| Mental Health Counselor | MN | |
| Clinical Psychologist | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| - | MN |
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