Active NPI
Yekaterina Bergman, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1066728
- Practice address
- 5200 Harry Hines Blvd
Dallas, TX 75235-7709 - Phone
- (469) 419-6702
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 1066728 | TX | Primary |
Addresses
Primary practice location
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14850 Montfort Dr
Suite 200
Dallas, TX 75254-1499
Phone (214) 373-9250
350 E I
20 Suite 200
Arlington, TX 76018-1119
Phone (817) 784-0222
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.1 of 100
- Quality
- 88.97
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 83.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Anesthesia & Pain Management Consultants, LLP | Current | Accepting new patients | |
| Arlington Anesthesia Group, PLLC | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| South Arlington Surgical Providers, LLC | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients |
Locations
350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299
14850 Montfort Dr
Ste 200
Dallas, TX 75254
Phone (214) 373-9250
5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942327192
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1023483153
-
- Psychiatry Physician
- Dallas, TX
- NPI 1649278995
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
-
- Ambulatory Surgical Clinic/Center
- Arlington, TX
- NPI 1902844426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1922628809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "469-419-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "YEKATERINA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1066728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.