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Active NPI 1730349242 Individual Practitioner Female Practitioner

Kimberly Anne Berggren , PA-C

Physician Assistant • Eglin Afb, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Berggren, PA-C is a certified Physician Assistant practicing in Eglin Afb, FL. With approximately 22 years of clinical experience since graduating from Eastern Virginia Medical School in 2004, Kimberly Berggren delivers high-quality medical care to the local community at 96TH MEDICAL GROUP.

Kimberly Berggren is affiliated with Stephen Mosley Pa-C Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

96th Medical Group
307 Boatner Rd, Suite 114

Eglin Afb, FL 325421282

Telephone 5088381328
Fax 8508624423

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eglin Afb, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -0.3 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Eglin Afb, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berggren (22 Years) 22 Yrs
Eglin Afb Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
82 70 $211.32 $106.71
93000 Routine ekg using at least 12 leads including interpretation and report
25 25 $48.52 $12.13
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $150.91 $75.17

Medical Specialties & State Licenses

CMS Verified: 2024-06-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Stephen Mosley Pa-C Llc

64 Pine Knoll Ln, Santa Rosa Beach, FL 324594588

Phone: 7707572190

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Thanh Huynh , APRN

Nurse Practitioner - Acute Care

NPI 1104678283

Advanced Practice Registered Nurse

Dr. Eric Sandwith , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1174519441

Doctor of Medicine (M.D.)

Courtney Bartlett , ARNP

Nurse Practitioner - Acute Care

NPI 1255748380

Advanced Registered Nurse Practitioner

Lindsay Harris , APRN

Nurse Practitioner - Adult Health

NPI 1316651250

Advanced Practice Registered Nurse

Katia Murphy-Blount , PA-C

Physician Assistant

NPI 1538271226

Physician Assistant (Certified)

Dr. Amit Patel , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1669447199

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 24, 2024

Registered at 96TH MEDICAL GROUP, 307 BOATNER RD, SUITE 114, EGLIN AFB, FL 325421282 (Tel: 5088381328)

📍
Updated Business Mailing Address June 24, 2024

Registered at 9TH MEDICAL GROUP, 307 BOATNER RD, STE 114, EGLIN AFB, FL 325421282 (Tel: 8508838132)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Physician Assistant

📍
Updated Practice Location November 09, 2022

Registered at 1032 MAR WALT DRIVE, STE 230, FORT WALTON BEACH, FL 325476661 (Tel: 8508623194)

📍
Updated Business Mailing Address November 09, 2022

Registered at 1032 MAR WALT DRIVE, STE 230, FORT WALTON BEACH, FL 325476661 (Tel: 8508623194)

📍
Updated Practice Location December 26, 2018

Registered at 2190 HIGHWAY 85 N, NICEVILLE, FL 32578 (Tel: 8506784131)

📍
Updated Business Mailing Address December 26, 2018

Registered at 86 MEIGS DR, SHALIMAR, FL 325792200 (Tel: 6618742323)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2018

Physician Assistant (License #PA9102826 in FL)

NPI Profile Active February 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2010

Registered at 44725 10TH ST W STE 260, LANCASTER, CA 935343049 (Tel: 6612732400)

📍
Updated Business Mailing Address February 12, 2010

Registered at 40233 WYNGATE CT, PALMDALE, CA 935517538 (Tel: 6612067467)

👤
Provider Name / Credentials Updated February 12, 2010

Recorded as KIMBERLY BERGGREN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2010

Physician Assistant (License #PA20199 in CA)

🟢
Initial NPI Registration & Enumeration June 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730349242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2008
Last Update: June 24, 2024
Sole Proprietor: No

Mailing Address

9th Medical Group, 307 Boatner Rd, Ste 114

Eglin Afb, FL 325421282

Phone: 8508838132

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.