NANCY JEAN BERGEY (NPI# 1760699896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760699896 |
| Entity Type | Individual |
| Full Name | NANCY JEAN BERGEY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
N2665 County Road Qq King WI 54946-0600 |
| Practice Telephone | 7152585586 |
| Practice Fax Number | 7152580450 |
| Mailing Telephone | 7152585586 |
| Mailing Fax Number | 7152580450 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
64407 | WI | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
MB2732178 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
N2665 COUNTY ROAD QQ |
| City | KING |
| State | WI |
| Zip Code | 54946-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439986 | State of Wisconsin | Skilled Nursing Facility | N2665 County Road Qq, King, WI 54946 | 2005-09-29 |
| 1841851268 | Danielle Kaufert | Physical Therapy Assistant | N2665 County Road Qq, King, WI 54946-0600 | 2019-06-26 |
| 1992201578 | Melissa R Duberstein | Occupational Therapy Assistant | N2665 County Road Qq, King, WI 54946-0600 | 2018-04-03 |
| 1073029286 | Ashley Caves | Speech-Language Pathologist | N2665 County Road Qq, King, WI 54946-0600 | 2017-12-26 |
| 1558803007 | Cynthia Ann Rendall | Nurse Practitioner | N2665 County Road Qq, King, WI 54946-0600 | 2016-11-15 |
| 1568738029 | Lisa Lebouef | Speech-Language Pathologist | N2665 County Road Qq, Speech Therapy Department, King, WI 54946-0600 | 2012-03-29 |
| 1134400401 | Amie Anna Lee Greely | Physical Therapy Assistant | N2665 County Road Qq, King, WI 54946-0600 | 2011-08-31 |
| 1346538352 | Robin Lynn Delgado | Speech-Language Pathologist | N2665 County Road Qq, King, WI 54946-0600 | 2011-07-12 |
| 1205143542 | Jodi Ann Dailey | Nurse Practitioner | N2665 County Road Qq, King, WI 54946-0600 | 2010-09-08 |
| 1982846283 | James Alan Lebouef | Dentist | N2665 County Road Qq, Wisconsin Veterans Home/ Dental Clinic, King, WI 54946-0600 | 2009-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376653261 | Paul Joseph Drinkt | Internal Medicine | N2665 County Rd Qq, Wisconsin Veterans Home, King, WI 54946 | 2006-08-30 |
| 1306861836 | Barbara A Bergman | Licensed Practical Nurse | N2665 Highway Qq, Wisconsin Veterans Home Pharmacy, King, WI 54946 | 2006-07-13 |
| 1093891046 | Dean M Christensen | Pharmacist | N2665 County Rd Qq, King, WI 54946-0600 | 2006-10-31 |
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871743138 | Carol Lynn Herzberg | Clinical Nurse Specialist | S89w23120 King Pkwy, Big Bend, WI 53103-9720 | 2008-09-23 |
| 1548214133 | Lorrie W Hylkema | Clinical Nurse Specialist | 306 N Brooks St, Va Csp, Madison, WI 53715-1002 | 2006-05-19 |
| 1457583163 | Diane Matilda Pivonka | Clinical Nurse Specialist | 1499 6th St, Green Bay, WI 54304-2252 | 2009-08-13 |
| 1194827253 | Debra A Day | Clinical Nurse Specialist | 300 4th St N, La Crosse, WI 54601-3228 | 2006-09-01 |
| 1790898294 | Mary Ellen Yahle | Clinical Nurse Specialist | 2524 E Webster Pl, Suite 203, Milwaukee, WI 53211-4253 | 2006-08-17 |
| 1558374892 | Jeannette Carmen Merrill | Clinical Nurse Specialist | 3520 Tower Ave, Superior, WI 54880-5335 | 2006-08-15 |
| 1962419382 | Kathleen Collins | Clinical Nurse Specialist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-08-01 |
Please comment or provide details below to improve the information on NANCY JEAN BERGEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.