Individual provider Active NPI

Marcus Bergen, CRNA

  • Certified Registered Nurse Anesthetist
  • Newberg, OR
National Provider Identifier
1508061664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Practice address
1001 Providence Way
Newberg, OR 97132
Phone
(503) 537-1796
NPI assigned
Jun 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X OR Primary

Addresses

Primary practice location

1001 Providence Way
Newberg, OR 97132

Mailing address

2205 SW 21St Ave
Portland, OR 97201-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM, DE, MI, ID5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20211028001029 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648369330 Reassigns benefits to 2 organizations
I20221222002280 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648369330 Reassigns benefits to 1 organization
I20241118003938 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648369330 Reassigns benefits to 1 organization
I20250402001511 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648369330 Reassigns benefits to 1 organization
I20260217003143 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648369330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Alphonsus Professional Medical Services LLCGroup PAC ID 7214849751, 124 clinicians
Kalamazoo Anesthesiology P CGroup PAC ID 3375449473, 135 clinicians
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2152

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
70.25
Promoting interoperability
100
Improvement activities
40
Cost
67.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services PA CurrentSince Oct 8, 2024 Accepting new patients
Animas Surgical Hospital, LLC CurrentSince Dec 2, 2024 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Jan 25, 2024 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Mar 2, 2026 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Mar 2, 2026 Accepting new patients
Kalamazoo Anesthesiology P C CurrentSince May 15, 2025 Accepting new patients
Durango Surgery Center LLC CurrentSince Dec 2, 2024 Accepting new patients
Animas Surgical Hospital, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Netherlands Anesthesia, LLC CurrentSince Sep 10, 2022 Accepting new patients
Southwest Endoscopy Center PastSince Nov 4, 2021 Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508061664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 SW 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PROVIDENCE WAY",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-537-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "MARCUS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.