Individual provider Active NPI

Mary Cardarelli Bergmann, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1104146281
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R185318 Issued in MD
Practice address
The Johns Hopkins Hospital 600 N Wolfe St
Administration 204
Baltimore, MD 21287-0001
Phone
(301) 652-5739
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R185318 MD Primary

Addresses

Primary practice location

The Johns Hopkins Hospital 600 N Wolfe St
Administration 204
Baltimore, MD 21287-0001

Mailing address

5122 Bradley Blvd
Chevy Chase, MD 20815-6526
Phone (301) 652-5739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000696 DC Practitioner - Nurse Practitioner 2961670690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3698

1851 N George Mason Dr
Arlington, VA 22207-1953

7611 Little River Tpke
Annandale, VA 22003-2611
Phone (703) 717-7240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Feb 1, 2023 Accepting new patients
Capital Palliative Care Consultants, LLC PastSince Jan 27, 2013 Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

9715 Medical Center Dr
Ste 414
Rockville, MD 20850
Phone (301) 251-9503

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

7611 Little River Tpke
Ste 108W
Annandale, VA 22003
Phone (703) 658-7060

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1625 N George Mason Dr
Ste 475
Arlington, VA 22205
Phone (703) 717-4000

6862 Elm St
Ste 500
Mc Lean, VA 22101
Phone (703) 992-0649

6862 Elm St
Ste 600
McLean, VA 22101
Phone (703) 992-0649

Interoperability endpoints

  • Direct secure messaging: mbergmann99186@direct.virginiahospitalcenter.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1104146281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 BRADLEY BLVD",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156526",
            "telephone_number": "301-652-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE JOHNS HOPKINS HOSPITAL 600 N WOLFE ST",
            "address_2": "ADMINISTRATION 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870001",
            "telephone_number": "301-652-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "MARY",
        "middle_name": "CARDARELLI",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R185318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.