AMY M BERGLIN (PA-C) – Physician Assistant, NPI 1821057910
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for AMY M BERGLIN (PA-C)
12000 ELM CREEK BLVD, SUITE 360
MAPLE GROVE, MN 553697076
Phone: (763) 420-1010
Fax: (763) 420-3710
Type: Mailing
120, Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55448, United States
COON RAPIDS, MN 554332599
Phone: (763) 767-3350
Fax: (763) 767-0912
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $255.
Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Lundbeck LLC ($48).
Total Amount
$255
General + Research + Ownership
Payments
16
Total payment records
General Amount
$255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $48 |
| Sage Therapeutics, Inc. | $34 |
| Takeda Pharmaceuticals U.S.A., Inc. | $29 |
| Tempus AI, Inc | $25 |
| Tris Pharma Inc | $17 |
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: 2003-11-24
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 |
|---|---|---|---|---|
| I20031124000311 | I | Physician Assistant | MN | 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 | 280 | 73 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 150 | 49 | $0 |
Insurance plans in this area (ZIP 55369)
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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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