KYLE T BERGAN (DNP, APRN, FNP-C) – Registered Nurse, NPI 1114490224
Registered Nurse
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
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Provider Addresses for KYLE T BERGAN (DNP, APRN, FNP-C)
103 S WOOD AVE APT 329
LINDEN, NJ 070363175
Phone: (217) 714-4713
Type: Mailing
Rt 10 West, Mill Brook, Randolph Township, Morris County, New Jersey, 07801, United States
RANDOLPH, NJ 078692104
Phone: (973) 891-1321
Type: Location
17960 Halsted St
Homewood, IL 604302014
Phone: (708) 922-0911
Type: Location
5020 Dempster St
Skokie, IL 600771835
Phone: (708) 922-0911
Type: Location
1700 W SUMMERDALE AVE APT BSMT
CHICAGO, IL 606402068
Phone: (217) 714-4713
Type: Mailing
5875 E RIVERSIDE BLVD
ROCKFORD, IL 611144937
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Location
120 NEILSON ST APT 152
NEW BRUNSWICK, NJ 089011458
Phone: (217) 714-4713
Type: Mailing
601 W UNION AVE
BOUND BROOK, NJ 088051166
Phone: (732) 469-3627
Fax: (732) 667-3708
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: 2025-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20200211000957 | I | Nurse Practitioner | NJ | TBD |
| I20210917001578 | I | Nurse Practitioner | IN | TBD |
| I20221102003359 | I | Nurse Practitioner | IL | TBD |
| I20231206003915 | I | Nurse Practitioner | MI | TBD |
| I20240126003663 | I | Nurse Practitioner | OH | TBD |
| I20250930002499 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 38 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 17 | 14 | $0 |
Insurance plans in this area (ZIP 07036)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Family Practice, Obstetrics/Gynecology | CT | |
| Physician Assistant | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Orthopedic Surgery | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WI | |
| General Surgery | WI | |
| - | WI | |
| Orthopedic Surgery | WI |
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