Jessica J Bergeron, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F340768-1 Issued in NY

Practice address

32 Graham Ave
B-26 Van Hoesen Hall
Cortland, NY 13045-1637

Phone

(607) 753-4811

Fax

(607) 753-2486

NPI assigned

Jul 13, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1396197489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 WEST RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451637",
            "telephone_number": "607-753-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GRAHAM AVE",
            "address_2": "B-26 VAN HOESEN HALL",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451637",
            "telephone_number": "607-753-4811",
            "fax_number": "607-753-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340768-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Beers, RN
• Jesse R. Belton
• Leighthaniel Benavidez
• Marley Bender
• Anna Theresa Ehrlich Bennett, M.S. OTR/L
• Richard Mark Besley, PHARM D
• Jennifer Lisa Biondi, OTR/L
• Nicholas Charles Biondi, DO
• George Birman, DDS
• Deanna Bishop

• Family Nurse Practitioner in Cortland, NY
• Providers in Cortland, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.