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

Ry Willis Bergum, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1275103459

Ry Willis Bergum, PMHNP is a Nurse Practitioner in Ashland, Virginia. Qualified in 2021, 5 years ago. Practices with Hanover County Board of Supervisors, a 16-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

12300 Washington Hwy
Ashland, VA 23005-7646
Phone: (804) 365-4200
Fax: (804) 365-6639
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024181720 (VA)

Record details

NPI number1275103459
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hanover County Board Of Supervisors — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ashland