Individual provider

Jacqueline Bergner, APNP

Adult Health Nurse Practitioner Gerontology Nurse Practitioner Medicare enrolled

Jacqueline Bergner, APNP is an Adult Health Nurse Practitioner in Brookfield, WI, registered under NPI 1205260411. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 17000 W NORTH AVE 104W, Brookfield, WI 53005. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

17000 W NORTH AVE 104W, Brookfield, WI 53005 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5397 WI Adult Health Nurse Practitioner primary
5397 WI Gerontology Nurse Practitioner

This provider holds licence 5397 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
0143454884
Enrollment ID
I20131011000087

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2200X Adult Health Nurse Practitioner Adult Health 5397 WI primary
363LG0600X Gerontology Nurse Practitioner Gerontology 5397 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205260411 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 23, 2013
Last updatedAug 23, 2013
StatusActive
Sole proprietorNo
CredentialAPNP
Practice address 17000 W NORTH AVE
104W
Brookfield, WI 53005
(262) 785-7430
Fax (262) 785-7431
This record was last updated on Aug 23, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1205260411 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 2 6 0 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 4 6 0 4 2

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205260411?
NPI 1205260411 is the National Provider Identifier assigned to Jacqueline Bergner, APNP in Brookfield, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Jacqueline Bergner, APNP?
The phone number on file with NPPES is (262) 785-7430, last updated Aug 23, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jacqueline Bergner, APNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205260411 a valid number?
Yes. 1205260411 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.