Individual provider Active NPI

Rachel Bergman, APRN

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1295589216
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0036993 Issued in OH
Practice address
16888 Harvard Ave
Cleveland, OH 44128-2208
Phone
(216) 810-7159
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.519916 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0036993 OH Primary

Addresses

Primary practice location

16888 Harvard Ave
Cleveland, OH 44128-2208

Mailing address

2495 Bryden Rd
Bexley, OH 43209-2133
Phone (614) 370-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241107004353 OH Practitioner - Nurse Practitioner 3375077720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

Practice addresses (Care Compare)

16888 Harvard Ave
Cleveland, OH 44128-2208
Phone (216) 303-6819

27100 Cedar Rd
Beachwood, OH 44122-1109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.519916OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC CurrentSince Sep 16, 2024 Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

16888 Harvard Ave
Cleveland, OH 44128
Phone (216) 682-7703

Organizations & group practices 1

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": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1295589216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 BRYDEN RD",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092133",
            "telephone_number": "614-370-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16888 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282208",
            "telephone_number": "216-810-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.519916",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.