Individual provider Active NPI

Jessica Sue Bergman, APRN-CNM

  • Advanced Practice Midwife
  • Celina, OH
National Provider Identifier
1740826684
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.0194909 Issued in OH
Practice address
950 S Main St Ste 8
Celina, OH 45822-2474
Phone
(419) 586-2226
NPI assigned
Nov 26, 2019
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.0194909 OH Primary

Addresses

Primary practice location

950 S Main St Ste 8
Celina, OH 45822-2474

Mailing address

830 W Main St
Coldwater, OH 45828-1657
Phone (567) 890-7185

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106002641 OH Practitioner - Certified Nurse Midwife (CNM) 5092149781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M E D F Physicians CorporationGroup PAC ID 9133109903, 47 clinicians

Practice addresses (Care Compare)

950 S Main St
Suite 3
Celina, OH 45822-2467
Phone (419) 586-3017

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as group
Quality
81.05
Promoting interoperability
100
Improvement activities
40
Cost
76.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNM.0194909OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
M E D F Physicians Corporation CurrentSince Dec 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercer County Joint Township Community Hospital Past Accepting new patients

Locations

950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118

950 S Main St
Ste 3
Celina, OH 45822
Phone (419) 586-3017

950 S Main St
Ste 8
Celina, OH 45822
Phone (419) 586-2226

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

Interoperability endpoints

  • Direct secure messaging: jbergman442074@direct.osumc.edu

Organizations & group practices 3

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 1

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1740826684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281657",
            "telephone_number": "567-890-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MAIN ST STE 8",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222474",
            "telephone_number": "419-586-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.0194909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.