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

Mrs. Kimberly Anne Berggren, PA-C

Individual provider Physician Assistant · NPI 1730349242

Mrs. Kimberly Anne Berggren, PA-C is a Physician Assistant in Eglin AFB, Florida. Graduated from Eastern Virginia Medical School in 2004, 22 years ago. Practices with Stephen Mosley Pa-C LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Trained at
Eastern Virginia Medical School
Licensed in
FL
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

96TH Medical Group 307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1282
Phone: (508) 838-1328
Fax: (850) 862-4423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (FL)

Record details

NPI number1730349242
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 10, 2008
Last updated in NPPESJune 24, 2024
Certification dateJune 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Stephen Mosley Pa-C Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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