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JACQUELINE J BERGNER APNP
NPI 1205260411
Nurse Practitioner - Adult Health in Brookfield, WI

Active since August 23, 2013PECOS EnrolledAccepts Medicare Assignment
17000 W NORTH AVE, 104W, BROOKFIELD, WI 53005(262) 785-7430(262) 785-7431 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline J Bergner Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE J BERGNER APNP (NPI 1205260411) is an individual adult health provider in Brookfield, Wisconsin, licensed in Wisconsin (5397) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205260411
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELINE J BERGNERCredential: APNP
Location Address17000 W NORTH AVE, 104WBrookfield, WI 53005-4423
Mailing Address17000 W North Ave, 104wBrookfield, WI 53005-4423 · (262) 785-7430 · Fax (262) 785-7431
Phone(262) 785-7430
Fax(262) 785-7431
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 23, 2013
✔ NPI 1205260411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WI · 5397
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5397 (WI)
17000 W NORTH AVE, Brookfield, WI 53005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline J Bergner Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143454884
PECOS Enrollment IDI20131011000087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
175 services123 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services21 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services19 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MUSHIR HASSAN MD
Internal Medicine
17000 W NORTH AVE, SUITE 200 E
BROOKFIELD, WI 53005
Waukesha County (262) 782-4270
JAMES W BURHOP MD
Surgery
17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005
Waukesha County (262) 786-3722
MRS. SUSAN MARIE COBB OTR
Occupational Therapist
17000 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 780-4300
DR. RUSSELL BLANKENBURG MD
Internal Medicine
17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005
Waukesha County (262) 782-4270
MRS. PENNY BEAMS PT
Physical Therapist (Orthopedic)
17000 W NORTH AVE
BROOKFIELD, WI 53005
Waukesha County (262) 780-4300
BOBBY WU MD
Surgery
17000 W NORTH AVE, STE 107W
BROOKFIELD, WI 53005
Waukesha County (262) 786-3722
ELMBROOK INTERNAL MEDICINE ASSOCIATES S.C.
Clinic/Center (Primary Care)
17000 W NORTH AVE, SUITE 200E
BROOKFIELD, WI 53005
Waukesha County (262) 782-4270
SARAH J HOFFMAN
Physical Therapist
17000 W NORTH AVE, 2W
BROOKFIELD, WI 53005
Waukesha County (262) 780-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Bergner's NPI number?

The NPI number for Jacqueline Bergner is 1205260411. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Jacqueline Bergner located?

Jacqueline Bergner practices at 17000 W North Ave 104W, Brookfield, WI 53005. The listed phone number is (262) 785-7430.

What is Jacqueline Bergner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacqueline Bergner enrolled in Medicare?

Yes. Jacqueline Bergner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Bergner accept?

Health plans from Network Health list Jacqueline Bergner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Bergner affiliated with any hospitals?

According to CMS data, Jacqueline Bergner is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Bergner was last updated on August 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.