LISA MARIE BERGERON APRN
NPI 1366715179
Nurse Practitioner - Family in Oakdale, CT
About Lisa Marie Bergeron Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE BERGERON APRN (NPI 1366715179) is an individual family provider in Oakdale, Connecticut, licensed in Connecticut (4923) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Marie Bergeron 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.
Medicare Billing Reassignments
10Medicare enrollment records show Lisa Bergeron reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Old Saybrook, CT 06475
- Reassigned Medicare billing, Connecticut enrollment
- 32 clinicians in this Medicare group
Vernon, CT 06066
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Afc Physicians Of Connecticut PC
- 62 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
Avon, CT 06001
- Reassigned Medicare billing, Connecticut enrollment
- 182 clinicians in this Medicare group
Waterbury, CT 06708
- Reassigned Medicare billing, Connecticut enrollment
- 19 clinicians in this Medicare group
Shelton, CT 06824
- Reassigned Medicare billing, Connecticut enrollment
- 40 clinicians in this Medicare group
Bridgeport, CT 06610
- Reassigned Medicare billing, Connecticut enrollment
- 44 clinicians in this Medicare group
Trumbull, CT 06611
- Reassigned Medicare billing, Connecticut enrollment
- 19 clinicians in this Medicare group
Bridgeport, CT 06606
- Reassigned Medicare billing, Connecticut enrollment
- 41 clinicians in this Medicare group
Fairfield, CT 06825
- Reassigned Medicare billing, Connecticut enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06370 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lisa Bergeron's NPI number?
The NPI number for Lisa Bergeron is 1366715179. It was assigned to this individual provider in the NPPES registry on February 10, 2012.
Where is Lisa Bergeron located?
Lisa Bergeron practices at 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370. The listed phone number is (860) 222-0949.
What is Lisa Bergeron's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Bergeron enrolled in Medicare?
Yes. Lisa Bergeron 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.
Which organizations bill Medicare for Lisa Bergeron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bergeron reassigns Medicare benefits to 10 organizations: Mhs Primary Care Inc (Old Saybrook, CT), Ctuc01 (Vernon, CT), Trinity Health Of New England Provider Network Organization Inc (Hartford, CT), Hartford Healthcare Urgent Care Centers, LLC (Avon, CT), Trinity Health Of New England Urgent Care PLLC (Waterbury, CT) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Bergeron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Bergeron accept?
Health plans from Anthem Blue Cross and Blue Shield list Lisa Bergeron 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.
When was this NPI record last updated?
The NPPES record for Lisa Bergeron was last updated on November 15, 2021. 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.
# Lisa Marie Bergeron, APRN · NPI 1366715179
Family physician in Oakdale, Connecticut. Individual provider, active in the CMS NPPES registry since February 10, 2012.
## Identity
- **NPI:** 1366715179 (Entity type: Individual)
- **Enumerated:** February 10, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4923 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 627 NORWICH SALEM TPKE UNIT 2, Oakdale, CT 06370-1066
- **Phone:** (860) 222-0949 · **Fax:** (888) 326-5828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Mhs Primary Care Inc (NPI 1093138935, Old Saybrook, CT); Ctuc01 (NPI 1922539592, Vernon, CT); Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT); Hartford Healthcare Urgent Care Centers, LLC (NPI 1093239683, Avon, CT); Trinity Health Of New England Urgent Care PLLC (NPI 1447867452, Waterbury, CT); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 15, 2021
- **Other identifiers:** Medicaid 004235900 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1366715179) · Data from the CMS NPPES public registry.