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

Michaela Ilyse Miller-Bergeron

Individual provider Physician Assistant · NPI 1194563064

Michaela Ilyse Miller-Bergeron is a Physician Assistant in Fishersville, Virginia. Qualified in 2024, 2 years ago. Practices with Gastrointestinal Specialists LLC, a 79-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024

Practice location Address checks out

100 Baldwin Blvd
Fishersville, VA 22939-2375
Phone: (540) 887-4000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010213 (VA)

Record details

NPI number1194563064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gastrointestinal Specialists Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fishersville