Individual provider Active NPI

Anna Bergman

  • Acute Care Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1386344851
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0032575 Issued in OH
Practice address
30 E Apple St
Dayton, OH 45409-2932
Phone
(937) 208-8345
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 0032575 OH Primary

Addresses

Primary practice location

30 E Apple St
Dayton, OH 45409-2932

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1306

Other practice location 1

425 W Grand Ave Ste 2002
Dayton, OH 45405-4722
Phone (866) 224-9472

Other practice location 2

3737 Southern Blvd Ste 3000
Kettering, OH 45429-1262
Phone (866) 224-9472

Other practice location 3

1745 E Stroop Rd
Kettering, OH 45429-5039
Phone (937) 531-0200

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
I20230906003497 OH Practitioner - Nurse Practitioner 7618331836 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3737 Southern Blvd
Suite 3000
Kettering, OH 45429-1262
Phone (866) 224-9472

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0032575OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Oct 15, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Jul 1, 2024 Accepting new patients
Mvhe Inc CurrentSince Jul 10, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Jul 1, 2024 Accepting new patients
Sinclair Physician Services, LLC CurrentSince Mar 18, 2024 Accepting new patients
Upper Valley Professional Corporation CurrentSince Jul 10, 2023 Accepting new patients
Mvhe Inc CurrentSince Jul 10, 2023 Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

122 Wyoming St
Dayton, OH 45409
Phone (937) 438-8640

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

30 E Apple St
Ste 3300
Dayton, OH 45409
Phone (937) 208-8394

425 W Grand Ave
Ste 2002
Dayton, OH 45405
Phone (937) 294-3611

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1745 E Stroop Rd
Kettering, OH 45429
Phone (937) 281-6340

3737 Southern Blvd
Ste 3000
Kettering, OH 45429
Phone (866) 224-9472

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

Organizations & group practices 7

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 2

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1386344851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1306",
            "fax_number": "937-522-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092932",
            "telephone_number": "937-208-8345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W Grand Ave Ste 2002",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454054722",
            "country_code": "US",
            "telephone_number": "866-224-9472",
            "fax_number": "937-320-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Southern Blvd Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291262",
            "country_code": "US",
            "telephone_number": "866-224-9472",
            "fax_number": "937-531-0198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1745 E Stroop Rd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454295039",
            "country_code": "US",
            "telephone_number": "937-531-0200",
            "fax_number": "937-522-7359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0032575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.