IndividualActive
Kelly Bergevin, APRN
NPI 1265113641 · Primary Care Nurse Practitioner · Omaha, NE
Provider details
- NPI number
- 1265113641
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 114925 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6320 N. 70th Plz
Omaha, NE 68104-1074
Phone: (402) 573-3761
Fax: (402) 573-3780
Approximate (ZIP-level) locationGet directions
Mailing address
6320 N. 70th Plz
Omaha, NE 68104-1074
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.