Stacy Lea Clark Bergeron Carter is a Hollywood, Florida based nurse practitioner with 5 years of experience in Acute Care. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacy Lea Clark Bergeron Carter is APRN11011922 in Florida. Her current practice location is 3501 Johnson St, Hollywood. Patients can reach her at 954-265-7750 or can fax her at 954-276-0280. Stacy Lea Clark Bergeron Carter is APRN with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1033795232. Stacy Lea Clark Bergeron Carter is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Stacy Lea Clark Bergeron Carter speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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.
PAC ID:
0143614974
Enrollment ID:
I20220222000316
NPI Number:
1033795232
NPI Enumeration Date:
19 Mar, 2021
NPI Last Update On:
29 Mar, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Lea Clark Bergeron Carter are as mentioned below.
License Number
Specialization
State
Status
APRN11011922
Florida
Primary
11011922
Acute Care
Florida
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100038)
Hollywood, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stacy Lea Clark Bergeron Carter is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
South Broward Hospital District (8123927373)
420
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacy Lea Clark Bergeron Carter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
113475400
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stacy Lea Clark Bergeron Carter 2900 Corporate Way, Door D Miramar, Florida
Zip:
33025-3925
Phone Number:
954-276-5685
Fax Number:
954-985-7074
Patients can reach Stacy Lea Clark Bergeron Carter at 3501 Johnson St, Hollywood, Florida or can call to book an appointment on 954-265-7750.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.