Individual provider Active NPI

Jessica Rose Bergman, PA-C

  • Medical Physician Assistant
  • Homestead, PA
National Provider Identifier
1396127361
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057687 Issued in PA
Practice address
495 E Waterfront Dr Ste 200
Homestead, PA 15120-1151
Phone
(412) 678-0534
Fax
(412) 678-2838
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057687 PA Primary

Addresses

Primary practice location

495 E Waterfront Dr Ste 200
Homestead, PA 15120-1151

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-4461

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbergman160421@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151103002433 PA Practitioner - Physician Assistant 2466762471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 1, 2023 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2023 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

495 E Waterfront Dr
Ste 200
Homestead, PA 15120
Phone (412) 326-0330

1200 Brooks Ln
Ste G20
Jefferson Hls, PA 15025
Phone (412) 267-5040

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Interoperability endpoints

  • Direct secure messaging: jbergman160421@direct.ahn.org

Organizations & group practices 4

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1396127361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-4461",
            "fax_number": "412-330-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E WATERFRONT DR STE 200",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201151",
            "telephone_number": "412-678-0534",
            "fax_number": "412-678-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbergman160421@direct.ahn.org",
            "affiliation": "N",
            "address_1": "495 E Waterfront Dr Ste 200",
            "city": "Homestead",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151201151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, PA

Sources for this page

Verify at the official NPI Registry.