Victoria Jaide Bergeron, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

231921 Issued in LA

Practice address

119 Fuselier Street
Arnaudville, LA 70512

Phone

(337) 284-5684

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southside Family Clinic LLCGroup PAC ID 3779859392, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: victoria.bergeron.1@29894.direct.athenahealth.com

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

• Southside Family Clinic LLC

  • Rural Health Clinic/Center
  • Abbeville, LA
  • NPI 1720508955
  Medicare reassignment Care Compare group NPD
• Southside Family Clinic LLC

  • Rural Health Clinic/Center
  • Arnaudville, LA
  • NPI 1164112074
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1891476859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N HOSPITAL DR STE A",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104041",
            "telephone_number": "337-385-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FUSELIER STREET",
            "city": "ARNAUDVILLE",
            "state": "LA",
            "postal_code": "70512",
            "telephone_number": "337-284-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "VICTORIA",
        "middle_name": "JAIDE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "231921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnaudville Dental Care
• Gary Neil Bordelon, LPT
• Kellia Celestine
• Courtney Pitre Enterprises LLC
• Courtney Pitre Enterprises, LLC
• Angela Daigle

• Family Nurse Practitioner in Arnaudville, LA
• Providers in Arnaudville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.