Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marie Bergen, NP

Individual provider Acute Care Nurse Practitioner · NPI 1093183642

Kelly Marie Bergen, NP is a Nurse Practitioner in Gastonia, North Carolina. Qualified in 2015, 11 years ago. Practices with Caromont Medical Group Inc, a 417-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2555 Court Dr Ste 300
Gastonia, NC 28054-2134
Phone: (704) 868-3256
Fax: (704) 868-5870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 162782 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 162782 (NC)

Record details

NPI number1093183642
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 11, 2015
Last updated in NPPESSeptember 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Caromont Medical Group Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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