Kelly Jo Bergevin, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

114925 Issued in NE

Practice address

6320 N. 70TH PLZ
Omaha, NE 68104-1074

Phone

(402) 573-3761

Fax

(402) 573-3780

NPI assigned

Jul 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly Jo Purdy Former name

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

Specialty

Nurse Practitioner

Education

University of Nebraska College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Living IncGroup PAC ID 2860301322, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• CHI Health Immanuel Hospital, Omaha, NE, CCN 280081

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Quality Living Inc

  • Physical Medicine & Rehabilitation Physician
  • Omaha, NE
  • NPI 1710458237
  Medicare reassignment Care Compare group NPD

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

• Alegent Health Immanuel Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1912085184
  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1265113641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 N. 70TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041074",
            "telephone_number": "402-573-3761",
            "fax_number": "402-573-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N. 70TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041074",
            "telephone_number": "402-573-3761",
            "fax_number": "402-573-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEVIN",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "114925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028320300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PURDY",
            "middle_name": "JO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Berger
• Joan Bergeron, PT
• Katelyn Bergeron
• Shania Bergeron
• Nicole J Bergerson, MD
• Amy I Berggren, APRN
• Joshua Berggren
• Kalista Berggren
• John Joseph Bergin Jr., LIMHP, LMSW
• Berglund Better Days LLC

• Primary Care Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Primary Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.