Annika J Bergeson (NPI# 1487807848, PAC ID# 2365592979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487807848 |
| PAC ID by PECOS | 2365592979 |
| Professional Enrollment ID | I20090602000370 |
| Full Name | Annika J Bergeson |
| Organization Legal Name | ARIZONA DESERT DERMATOLOGY AND SURGERY PC |
| Address |
1700 Sycamore Ave Kingman AZ 86409-0927 |
| Phone Number | 9286928885 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305732512 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 Sycamore Ave, Kingman, AZ 86409-0927 | 9286928885 | ARIZONA DESERT DERMATOLOGY AND SURGERY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 16% |
| Organization Legal Name | ARIZONA DESERT DERMATOLOGY AND SURGERY PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan R Peterson | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Michael R Proctor | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Tammy M Smith | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Karyn L Abrahamson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| William G Anderson | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Ryan M Proctor | Dermatology | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Street Address |
1700 SYCAMORE AVE |
| City | KINGMAN |
| State | AZ |
| Zip | 86409-0927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan M Proctor | Dermatology | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra B Fedie | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| John A Weidner | Family Medicine | 3636 Stockton Hill Rd, Suite 2, Kingman, AZ 86409-0514 | |
| Jillian Musick | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Antony I Mwangi | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Muhammad A Khan | General Surgery | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Karen Gwinn | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Munawar A Paracha | Neurology | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | |
| Marie Bridget Moran | Nurse Practitioner | Mohave Mental Health Clinic Inc | 1741 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael S Serrano | Nurse Practitioner | Mohave Mental Health Clinic Inc | 3505 Western Ave, Kingman, AZ 86409-0927 |
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Find all physicians in zip 86409 | |||
| City | KINGMAN |
| Zip Code | 86409 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KINGMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Annika J Bergeson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.