Annie Michelle Bergman, PA-C
Individual provider Active NPI Physician Assistant · Lima, OH
NPI 1720899735 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1720899735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 801 Medical Dr Ste a
Lima, OH 45804-4030 - Phone
- (419) 222-6622
- NPI assigned
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Institute of Ohio, Inc
Practice addresses (Care Compare)
1275 Greenville Rd
Saint Marys, OH 45885-9352
Phone (419) 394-4636
200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 222-6622
730 W Market St
Lima, OH 45801-4602
Phone (419) 222-6622
800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341
801 Medical Dr
Lima, OH 45804-4030
Phone (419) 222-6622
Hospital & facility affiliations
- Mercer County Joint Township Community Hospital
- Wilson Memorial Hospital
- Institute for Orthopaedic Surgery
- Grand Lake Health System
- Mercy Health St Ritas Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250303002357 | OH | Practitioner - Physician Assistant | 5395266688 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Institute of Ohio, Inc. | Current |
Accepting new patients | |
| Orthopaedic Institute of Ohio, Inc | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
830 W Main St
Ste 4
Coldwater, OH 45828
801 Medical Dr
Lima, OH 45804
Phone (419) 227-0205
801 Medical Dr
Ste A
Lima, OH 45804
Phone 41922266223301
1275 E Greenville Rd
Saint Marys, OH 45885
Phone (419) 300-9790
915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311
915 Michigan St
Bldg B
Sidney, OH 45365
Phone (937) 419-5010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
801 Medical Dr Ste a
Lima, OH 45804-4030
Mailing address
10559 Conover Rd
Versailles, OH 45380-8493
Phone (937) 307-6180
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.