Kelly Jo Bergevin
APRN | Nurse Practitioner - Primary Care
6320 N. 70th Plz, Omaha
Nebraska, 68104-1074
402-573-3761
Kelly Jo Bergevin is a Omaha, Nebraska based nurse practitioner who is specialized as Primary Care NP. Active license number of Kelly Jo Bergevin is 114925 for Primary Care NP in Nebraska. Her current practice location is 6320 N. 70th Plz, Omaha. Patients can reach her at 402-573-3761 or can fax her at 402-573-3780. Kelly Jo Bergevin is APRN with specialization in Primary Care NP and her NPI number (Unique professional ID assigned by NPPES) is 1265113641.
Kelly Jo Bergevin is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Kelly Jo Bergevin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Jo Bergevin |
| Specialization: | Nurse Practitioner - Primary Care (PCNP) |
| Gender: | Female |
| Credentials: | APRN |
| Practice Address: | 6320 N. 70th Plz, Omaha,
Nebraska, 68104-1074 |
| Phone: | 402-573-3761 |
| Fax: | 402-573-3780 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1265113641 |
| NPI Enumeration Date: | 27 Jul, 2023 |
| NPI Last Update On: | 10 Feb, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Jo Bergevin are as mentioned below.
| License Number | Specialization | State | Status | |
| 114925 | Primary Care NP | Nebraska | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Jo Bergevin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10028320300 | Medicaid | Nebraska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Jo Bergevin
6320 N. 70th Plz,
Omaha, Nebraska |
| Zip: | 68104-1074 |
| Phone Number: | 402-573-3761 |
| Fax Number: | 402-573-3780 |
Patients can reach Kelly Jo Bergevin at
6320 N. 70th Plz, Omaha, Nebraska or can
call to book an appointment on 402-573-3761.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.