Active NPI
Marcus Bergen, CRNA
- Certified Registered Nurse Anesthetist
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 1001 Providence Way
Newberg, OR 97132 - Phone
- (503) 537-1796
- NPI assigned
- Jun 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
Enrollment records 5
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
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
- Saint Alphonsus Medical Center - Nampa
- Bronson Methodist Hospital
- Animas Surgical Hospital, LLC
- Borgess Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services PA | Current | Accepting new patients | |
| Animas Surgical Hospital, LLC | Current | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Durango Surgery Center LLC | Current | Accepting new patients | |
| Animas Surgical Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Netherlands Anesthesia, LLC | Current | Accepting new patients | |
| Southwest Endoscopy Center | Past | 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.
-
dba Animas Physician Network
- Emergency Medicine Physician
- Durango, CO
- NPI 1861721714
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
dba SAMG Anesthesia
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- Anesthesiology Physician
- New Castle, DE
- NPI 1053366377
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Anesthesiology Physician
- Las Vegas, NM
- NPI 1922603562
-
dba Animas Urgent Care
- Urgent Care Clinic/Center
- Durango, CO
- NPI 1194161422
-
dba Animas Surgical Center at Escalante
- Ambulatory Surgical Clinic/Center
- Durango, CO
- NPI 1548870603
-
dba St Alphonsus Trauma Physician Services
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
-
- Ambulatory Surgical Clinic/Center
- Durango, CO
- NPI 1790842037
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Animas Internal Medicine
- Internal Medicine Physician
- Durango, CO
- NPI 1184178238
Hospital
-
dba Animas Urgent Care
- Urgent Care Clinic/Center
- Durango, CO
- NPI 1194161422
Hospital
-
dba Animas Occupational Medicine
- Occupational Medicine Physician
- Durango, CO
- NPI 1497071435
Hospital
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
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.