Active NPI
Amber Louise Bergner, REGISTERED NURSE
- Registered Nurse
- Sussex, WI
National Provider Identifier
1265839849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 195459-30
- Practice address
- W232N7066 Salem Dr
Sussex, WI 53089 - Phone
- (262) 246-4363
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 195459-30 | WI | Primary |
Addresses
Primary practice location
W232N7066 Salem Dr
Sussex, WI 53089
Mailing address
N30W23861 Green Rd Apt 8
Pewaukee, WI 53072
Phone (414) 303-7528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195459-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1265839849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N30W23861 GREEN RD APT 8",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "53072",
"telephone_number": "414-303-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W232N7066 SALEM DR",
"city": "SUSSEX",
"state": "WI",
"postal_code": "53089",
"telephone_number": "262-246-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGNER",
"first_name": "AMBER",
"middle_name": "LOUISE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "195459-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.