Individual provider Active NPI

Kaci Renee Bergquist, CNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1124751854
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226636 Issued in LA
Practice address
4630 Ambassador Caffery Pkwy Ste 302
Lafayette, LA 70508-6950
Phone
(337) 470-3887
Fax
(337) 470-3896
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226636 LA Primary

Addresses

Primary practice location

4630 Ambassador Caffery Pkwy Ste 302
Lafayette, LA 70508-6950

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-3887

Other practice location 1

2810 Bonin Rd
Youngsville, LA 70592-5600
Phone (337) 857-5765

Other names 1

  • Kaci Renee Menard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930001121 LA Practitioner - Nurse Practitioner 0446636294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990

4809 Ambassador Caffery Pkwy
Suite 430
Lafayette, LA 70508-8800
Phone (337) 470-3109

Hospital & facility affiliations

  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Current Accepting new patients
Lourdes Physician Group LLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

4630 Ambassador Caffery Pkwy
Ste 404
Lafayette, LA 70508
Phone (337) 456-6892

4630 Ambassador Caffery Pkwy
Ste 302
Lafayette, LA 70508
Phone (337) 470-3580

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

Interoperability endpoints

  • Direct secure messaging: kbergquist1640008@direct.ochsner.org
  • Direct secure messaging: kbergquist73989@direct.casso.us.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1124751854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 AMBASSADOR CAFFERY PKWY STE 302",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086950",
            "telephone_number": "337-470-3887",
            "fax_number": "337-470-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Bonin Rd",
            "address_purpose": "LOCATION",
            "city": "Youngsville",
            "state": "LA",
            "postal_code": "705925600",
            "country_code": "US",
            "telephone_number": "337-857-5765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "KACI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "226636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACI",
            "last_name": "MENARD",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.