Nancy Jean Bergey, NURSE PRACTITIONER

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

MB2732178 Issued in WI

Practice address

N2665 County Road QQ
King, WI 54946-0600

Phone

(715) 258-5586

Fax

(715) 258-0450

NPI assigned

May 17, 2007

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Counseling Services LTD

  • Counselor
  • Hayward, WI
  • NPI 1124246095
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1760699896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2665 COUNTY ROAD QQ",
            "city": "KING",
            "state": "WI",
            "postal_code": "549460600",
            "telephone_number": "715-258-5586",
            "fax_number": "715-258-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2665 COUNTY ROAD QQ",
            "city": "KING",
            "state": "WI",
            "postal_code": "549460600",
            "telephone_number": "715-258-5586",
            "fax_number": "715-258-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEY",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "64407",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "MB2732178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Bergman, L.P.N.
• Robert C. Bradley, RPH
• Ashley Caves, MS CCC-SLP
• Dean M Christensen, R.PH
• Jodi Ann Dailey, APNP

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in King, WI
• Providers in King, WI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.