Mardelle Ann Bergsten, LPN
Individual provider Active NPI Licensed Practical Nurse · Gretna, NE
NPI 1497057129 · NPPES record last updated Aug 2, 2026
Key facts
- NPI
- 1497057129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 5217 (NE)
- Practice address
- 12405 S 218TH St
Gretna, NE 68028-5987 - Phone
- (402) 932-2284
- NPI assigned
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5217 | NE | MD | Radiology Clinic/Center |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 5217 | NE | Yes |
Addresses
Primary practice location
12405 S 218TH St
Gretna, NE 68028-5987
Mailing address
12405 So 218TH Street
Gretna, NE 68028
Phone (402) 932-2284
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5217 | Other | NE | LPN LICESENE NUMBER |
Other providers in Gretna, NE
- Taylor Bargmann
- Rachael Jean Barnes
- Amy L Barry
- Kelly Bebee
- Emily K Bendlin
- Kristin L. Berry
- Best in Vision
- Sandra L Beyke
- Cassandra Birdsall-Scherer
- Kye Black
All providers in Gretna, NE · Licensed Practical Nurse in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.