Active NPI
Megan Bergman, PA-C
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 138564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 138564 | IA | MD | Physician Assistant |
| 15-03163 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equipoise Healthcare, LLC | Current | 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.
-
- Pediatric Hematology & Oncology Physician
- Wichita, KS
- NPI 1912649443
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1477096097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.