Nicole J Bergerson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21318 Issued in NE

Practice address

9239 W Center Rd
Suite 225
Omaha, NE 68124-1900

Phone

(402) 505-9550

Fax

(402) 614-3414

NPI assigned

Feb 16, 2006

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062
  Medicare reassignment NPD
• Child and Family Psychiatric Specialists LLC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1215119763
  NPD (past) Authorized official
• Greater Regional Medical Center

  • Rural Health Clinic/Center
  • Greenfield, IA
  • NPI 1194406223
  NPD
• House Enterprises Inc

  dba Daybreak

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Papillion, NE
  • NPI 1285929844
  NPD (past)
• House Enterprises Inc

  dba Daybreak

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Omaha, NE
  • NPI 1568996981
  NPD (past)
• Psychiatric Services, PC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1992781074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1003880832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD",
            "address_2": "SUITE 225",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-505-9550",
            "fax_number": "402-614-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD",
            "address_2": "SUITE 225",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-505-9550",
            "fax_number": "402-614-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERSON",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "21318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025118600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Berger
• Sarah Berger
• Joan Bergeron, PT
• Katelyn Bergeron
• Shania Bergeron
• Kelly Jo Bergevin, APRN
• Amy I Berggren, APRN
• Joshua Berggren
• Kalista Berggren
• John Joseph Bergin Jr., LIMHP, LMSW

• Psychiatry Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.