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NICOLE LEE BERG-JOHNSON FNP
NPI 1336787126
Nurse Practitioner - Family in Lake Mills, WI

Active since December 12, 2019
125 E PINE ST STE C, LAKE MILLS, WI 53551(920) 648-5271(920) 648-4365 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2020, Dec 12, 2019 (2 updates tracked since 2019).

About Nicole Lee Berg-johnson Fnp NPPES

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

NICOLE LEE BERG-JOHNSON FNP (NPI 1336787126) is an individual family provider in Lake Mills, Wisconsin, licensed in Wisconsin (9779-33) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1336787126
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LEE BERG-JOHNSONCredential: FNP
Location Address125 E PINE ST STE CLake Mills, WI 53551-1103
Mailing Address125 E Pine St Ste CLake Mills, WI 53551-1103 · (920) 648-5271 · Fax (920) 648-4365
Phone(920) 648-5271
Fax(920) 648-4365
Sole ProprietorYes
Enumeration DateDecember 12, 2019
Last NPPES UpdateMarch 17, 20222 updates tracked since enumeration
NPPES CertifiedMarch 17, 2022
✔ NPI 1336787126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 9779-33
125 E PINE ST STE C, Lake Mills, WI 53551
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Other Providers at the Same Location NPPES

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

INTEGRATIVE MEDICAL SOLUTIONS OF LAKE MILLS LLC
Nurse Practitioner (Family)
125 E PINE ST STE C
LAKE MILLS, WI 53551
Jefferson County (920) 648-5271

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 Nicole Berg-johnson's NPI number?

The NPI number for Nicole Berg-johnson is 1336787126. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Nicole Berg-johnson located?

Nicole Berg-johnson practices at 125 E Pine St Ste C, Lake Mills, WI 53551. The listed phone number is (920) 648-5271.

What is Nicole Berg-johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Berg-johnson was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.