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KELLY JO BERGEVIN APRN
NPI 1265113641
Nurse Practitioner - Primary Care in Omaha, NE

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment
6320 N. 70TH PLZ, OMAHA, NE 68104(402) 573-3761(402) 573-3780 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Jo Bergevin Aprn NPPES

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

KELLY JO BERGEVIN APRN (NPI 1265113641) is an individual primary care provider in Omaha, Nebraska, licensed in Nebraska (114925) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of University Of Nebraska College Of Medicine (2023).

NPPES Registry Identity

NPI1265113641
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELLY JO BERGEVINCredential: APRN
Location Address6320 N. 70TH PLZOmaha, NE 68104-1074
Mailing Address6320 N. 70th PlzOmaha, NE 68104-1074 · (402) 573-3761 · Fax (402) 573-3780
Phone(402) 573-3761
Fax(402) 573-3780
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2023
Enumeration DateJuly 27, 2023
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1265113641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NE · 114925
6320 N. 70TH PLZ, Omaha, NE 68104
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Other Names 1

Former Name (1)Kelly Jo Purdy Aprn

Other Identifiers 1

Medicaid10028320300NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and more.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

Kelly Jo Bergevin Aprn 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 ID5193187540
PECOS Enrollment IDI20230816002691
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

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 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68104 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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 Kelly Bergevin's NPI number?

The NPI number for Kelly Bergevin is 1265113641. It was assigned to this individual provider in the NPPES registry on July 27, 2023. The provider is also known as Kelly Jo Purdy Aprn.

Where is Kelly Bergevin located?

Kelly Bergevin practices at 6320 N. 70th Plz, Omaha, NE 68104. The listed phone number is (402) 573-3761.

What is Kelly Bergevin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kelly Bergevin enrolled in Medicare?

Yes. Kelly Bergevin 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 Kelly Bergevin accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company, Sanford Health Plan and UnitedHealthcare list Kelly Bergevin 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 Kelly Bergevin affiliated with any hospitals?

According to CMS data, Kelly Bergevin is affiliated with The Nebraska Methodist Hospital and Chi Health Immanuel.

When was this NPI record last updated?

The NPPES record for Kelly Bergevin was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.