Individual provider Active NPI

Heidi Ann Bergen, APRN, NP-C

  • Family Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1184919615
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111253 Issued in NE
Practice address
2530 Sheridan Ave
Grand Island, NE 68803-1901
Phone
(308) 398-9393
Fax
(308) 396-0565
NPI assigned
Jun 13, 2011
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 111253 NE Primary

Addresses

Primary practice location

2530 Sheridan Ave
Grand Island, NE 68803-1901

Mailing address

2530 Sheridan Ave
Grand Island, NE 68803-1901
Phone (308) 398-9393

Other identifiers 2

IdentifierTypeStateIssuer
111253OtherNESTATE OF NEBRASKA-APRN
55203OtherNESTATE OF NEBRASKA-RN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20110628000873 NE Practitioner - Nurse Practitioner 9335327030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

3219 Central Ave
Suite 200
Kearney, NE 68847-2958
Phone (308) 865-2370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Dec 16, 2025 Accepting new patients
Trillion Health and Hormone Clinic Past Accepting new patients
The Physician Network PastSince Sep 1, 2011 Accepting new patients

Locations

2530 Sheridan Ave
Grand Island, NE 68803
Phone (308) 398-5522

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

3219 Central Ave
Ste 200
Kearney, NE 68847
Phone (308) 865-2370

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

520 E 10th St
Superior, NE 68978
Phone (402) 224-3344

Interoperability endpoints

  • Direct secure messaging: heidibergen@bmh.securechart.com

Organizations & group practices 3

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.

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1184919615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SHERIDAN AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031901",
            "telephone_number": "308-398-9393",
            "fax_number": "308-396-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SHERIDAN AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031901",
            "telephone_number": "308-398-9393",
            "fax_number": "308-396-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA-APRN",
            "identifier": "111253",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA-RN",
            "identifier": "55203",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.