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Active NPI 1114490224 Individual Practitioner Male Practitioner

Dr. Kyle T Bergan , DNP, APRN, FNP-C

Nurse Practitioner • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Bergan, DNP, APRN, FNP-C is a certified Nurse Practitioner practicing in Rockford, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Bergan delivers high-quality medical care to the local community at 5875 E RIVERSIDE BLVD.

Dr. Bergan is affiliated with Mile Bluff Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5875 E Riverside Blvd

Rockford, IL 611144937

Telephone 8153989491
Fax 8153817498
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rockford, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.7 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
130 Specialists

Practicing in Rockford, IL (4929 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergan (9 Years) 9 Yrs
Rockford Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
159 141 $214.68 $72.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
140 17 $21.00 $0.95
73564 X-ray of knee, 4 or more views
42 39 $59.59 $10.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $272.94 $87.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 31 $312.45 $103.22
20610 Aspiration and/or injection of fluid from large joint
28 20 $293.11 $54.28
73030 X-ray of shoulder, minimum of 2 views
27 26 $82.03 $11.26
72110 X-ray of lower and sacral spine, minimum of 4 views
27 27 $119.79 $14.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
26 26 $360.88 $135.64
73502 X-ray of hip, 2-3 views
19 19 $56.51 $10.33
71046 X-ray of chest, 2 views
12 11 $95.29 $16.20

Medical Specialties & State Licenses

CMS Verified: 2024-08-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017205

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209017205

Definition to come...

Registered Nurse - Emergency

NUCC Taxonomy Code: 163WE0003X

State License IN 28268975A

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MI 4704285087

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NJ 26NJ000891500

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 71011442A

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License NJ 26NR20578200

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse - Emergency

NUCC Taxonomy Code: 163WE0003X

State License IL 041389716

Definition to come...

Hospital & Practice Group Affiliations

Mile Bluff Medical Center Inc

1050 Division St, Mauston, WI 539481931

Phone: 6088476161

Secondary Practice Locations

17960 Halsted St

Homewood, IL 604302014

Phone: 7089220911

5020 Dempster St

Skokie, IL 600771835

Phone: 7089220911

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003158403

Doctor of Medicine (M.D.)

Mariola Grzeszczyk , APRN

Nurse Practitioner

NPI 1003425463

Advanced Practice Registered Nurse

NPI 1003856295

Doctor of Medicine (M.D.)

Dr. Douglas Pacaccio , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013005867

Doctor of Podiatric Medicine

Dr. Kelly Brinkman , DPT

Physical Therapist

NPI 1023398179

Doctor of Physical Therapy

Amanda Foit , NP

Nurse Practitioner

NPI 1023426475

Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location August 21, 2024

Registered at 5875 E RIVERSIDE BLVD, ROCKFORD, IL 611144937 (Tel: 8153989491)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Nurse Practitioner (License #209017205 in IL)

📍
Updated Practice Location September 25, 2023

Registered at 17960 HALSTED ST, HOMEWOOD, IL 604302014 (Tel: 7089220911)

📍
Updated Business Mailing Address September 25, 2023

Registered at 1700 W SUMMERDALE AVE APT BSMT, CHICAGO, IL 606402068 (Tel: 2177144713)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Nurse Practitioner (License #71011442A in IN)

👤
Provider Name / Credentials Updated August 22, 2021

Recorded as KYLE BERGAN, DNP, APRN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2021

Nurse Practitioner (License #4704285087 in MI)

📍
Updated Practice Location April 26, 2021

Registered at 601 W UNION AVE, BOUND BROOK, NJ 088051166 (Tel: 7324693627)

📍
Updated Business Mailing Address April 26, 2021

Registered at 120 NEILSON ST APT 152, NEW BRUNSWICK, NJ 089011458 (Tel: 2177144713)

👤
Provider Name / Credentials Updated April 26, 2021

Recorded as KYLE BERGAN, DNP, APN, FNP-C

NPI Profile Active January 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2019

Registered at 400 ROUTE 10 W, RANDOLPH, NJ 078692104 (Tel: 9738911321)

📍
Updated Business Mailing Address January 11, 2019

Registered at 103 S WOOD AVE APT 329, LINDEN, NJ 070363175 (Tel: 2177144713)

👤
Provider Name / Credentials Updated January 11, 2019

Recorded as KYLE BERGAN, DNP, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2019

Registered Nurse (License #26NR20578200 in NJ)

🟢
Initial NPI Registration & Enumeration January 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114490224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2019
Last Update: August 21, 2024
Sole Proprietor: No

Mailing Address

1700 W Summerdale Ave Apt Bsmt

Chicago, IL 606402068

Phone: 2177144713

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.