Sheri B Bergeron, MD
Individual provider Active NPI Hospitalist Physician · Superior, WI
NPI 1427008259 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1427008259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 64745-20 (WI)
- Practice address
- 3500 Tower Ave
Superior, WI 54880-4491 - Phone
- (715) 817-7000
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 34
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of Minnesota Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Polinsky Medical Rehabilitation Center
The Duluth Clinic LTD
Practice addresses (Care Compare)
1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360
4621 E Superior St
Duluth, MN 55804-2338
Phone (218) 786-3550
Hospital & facility affiliations
- Essentia Health St Mary'S Medical Center
- Essentia Health Duluth
- Essentia Health Deer River
- St Marys Hospital Superior
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040228000102 | MN | Practitioner - Hospitalist |
7810884566 | Reassigns benefits to 5 organizations |
| I20151215001458 | WI | Practitioner - Hospitalist |
7810884566 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39302 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Pines Medical Center | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| Duluth Graduate Medical Education Council Inc | Family Medicine | Current |
Accepting new patients |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| St. Mary'S Hospital of Superior | Current |
Accepting new patients | |
| St. Mary'S Hospital of Superior | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| St. Mary'S Duluth Clinic Health System | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St Marys Medical Center | Past | Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122
4621 E Superior St
Duluth, MN 55804
Phone (218) 786-3550
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39302 | MN | |
| Hospitalist Physician | 208M00000X | 64745-20 | WI | Yes |
Addresses
Primary practice location
3500 Tower Ave
Superior, WI 54880-4491
Mailing address
400 E 3Rd St
Duluth Clinic
Duluth, MN 55805
Phone (218) 786-8364
Other practice location 1
400 E 3rd St
Duluth Clinic
Duluth, MN 55805
Phone (218) 786-8364
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K400263394 | Other | WI | MEDICARE |
| 763578800 | Medicaid | MN |
Other providers in Superior, WI
- Crystal Bartell
- Eugena Denise Basley
- Grace Janice Beckman
- Madeline Marjorie Belisle
- Bella Vista Health and Rehabilitation Center, LLC
- Bergquist Chiropractic Inc.
- Heather Ann Bergstedt
- Sylvia Margaret Bevis
- Bio-Medical Applications of Wisconsin, Inc.
- Paula Bjoralt
All providers in Superior, WI · Hospitalist Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.