MS. DEBRA L BERGSTROM NP NPI 1780670398

NPI Information

  • NPI: 1780670398
  • Provider Name: MS. DEBRA L BERGSTROM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1401 10TH ST STE C
    ALAMOGORDO, NM
    ZIP 88310
  • Phone: (575) 437-4533

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NPI Details

MS. Debra L Bergstrom, NP is a family nurse practitioner in Alamogordo, NM with 33 years of experience. MS. Debra L Bergstrom, NP NPI is 1780670398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1401 10TH ST STE C
ALAMOGORDO, NM
ZIP 88310-012
Phone: (575) 437-4533
Fax: (575) 437-5009

The NPI 1780670398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Methotrexate sodium, 50 mg (HCPCS:J9260)
  • Administration of chemotherapy into growth, 1-7 (HCPCS:96405)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Biopsy of ear (HCPCS:69100)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 4/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily057927ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1560103MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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