Individual provider Active NPI

Megan Bergman, PA-C

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1174404172
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
138564 Issued in IA
Practice address
411 Laurel St Ste 3300
Des Moines, IA 50314-3027
Phone
(515) 643-8735
Fax
(515) 643-8741
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-03163 KS
Physician Assistant 363A00000X 138564 IA Primary

Addresses

Primary practice location

411 Laurel St Ste 3300
Des Moines, IA 50314-3027

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Other practice location 1

8110 E 32nd St N Ste 170
Wichita, KS 67226-2627
Phone (316) 330-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251119000528 KS Practitioner - Physician Assistant 0446741243 Reassigns benefits to 2 organizations
I20260627000635 IA Practitioner - Physician Assistant 0446741243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10850 Copper Creek TRL
Apt 6205
Maize, KS 67101-9314

13434 SW 15TH St
Benton, KS 67017-8803

3030 NW Expressway
Suite 1000
Oklahoma City, OK 73112-5468

405 SW 5TH St
Suite E
Des Moines, IA 50309-4675

405 SW 5TH St E
Des Moines, IA 50309-4675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
138564IAMDPhysician Assistant
15-03163KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Equipoise Healthcare, LLC CurrentSince Oct 9, 2025 Accepting new patients

Locations

8110 E 32nd St N
Ste 170
Wichita, KS 67226
Phone (316) 263-5889

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1174404172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519",
            "fax_number": "515-643-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 3300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143027",
            "telephone_number": "515-643-8735",
            "fax_number": "515-643-8741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8110 E 32nd St N Ste 170",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262627",
            "country_code": "US",
            "telephone_number": "316-330-9700",
            "fax_number": "316-330-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03163",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "138564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.