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KATHLYN BERGERON APRN-CNP
NPI 1720420243
Nurse Practitioner - Psychiatric/Mental Health in Woodbury, MN

Active since July 25, 2013PECOS EnrolledAccepts Medicare Assignment
1811 WEIR DR STE 270, WOODBURY, MN 55125(651) 714-9646(951) 714-9647 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Jan 19, 2018, Feb 24, 2017 (3 updates tracked since 2017).

About Kathlyn Bergeron Aprn-cnp NPPES

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

KATHLYN BERGERON APRN-CNP (NPI 1720420243) is an individual psychiatric/mental health provider in Woodbury, Minnesota, licensed in Minnesota (2596) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720420243
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLYN BERGERONCredential: APRN-CNP
Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(651) 714-9646
Fax(951) 714-9647
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 25, 2013
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1720420243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · 2596✔ Licensed in IA · G179941✔ Licensed in WI · 10970-33
1811 WEIR DR STE 270, Woodbury, MN 55125
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathlyn Bellefeuille

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and more.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

Kathlyn Bergeron Aprn-cnp 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 ID5395987820
PECOS Enrollment IDI20130813000943
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kathlyn Bergeron reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nystrom & Associates, Ltd
16 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566
Nystrom & Associates Counseling Wi., S.C.
115 mi
Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group
NPI 1659977866 (651) 379-1750
Psychiatric Associates Of Iowa, PC
231 mi
Mental Health (Including Community Mental Health Center)
1290 JORDAN ST
North Liberty, IA 52317
  • Reassigned Medicare billing, Iowa enrollment
  • 74 clinicians in this Medicare group
NPI 1568121457 (319) 356-6352

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 2

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.
141 services49 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
49 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

JILL JOHNSON LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
JENN LINDQUIST LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PAIGE WARE
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 243-6087
ROBIN ZIMMERMANN LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 398-6090
BELLA A KRASKA MARTIN
Counselor (Mental Health)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
ERIN SETALA LPCC
Counselor (Professional)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PALMER VANBEEST LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
NICOLE E BRINGGOLD
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646

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 Kathlyn Bergeron's NPI number?

The NPI number for Kathlyn Bergeron is 1720420243. It was assigned to this individual provider in the NPPES registry on July 25, 2013. The provider is also known as Kathlyn Bellefeuille.

Where is Kathlyn Bergeron located?

Kathlyn Bergeron practices at 1811 Weir Dr Ste 270, Woodbury, MN 55125. The listed phone number is (651) 714-9646.

What is Kathlyn Bergeron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathlyn Bergeron enrolled in Medicare?

Yes. Kathlyn 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 Kathlyn Bergeron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathlyn Bergeron reassigns Medicare benefits to 3 organizations: Nystrom & Associates, Ltd (New Brighton, MN), Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI) and Psychiatric Associates Of Iowa, PC (North Liberty, IA). 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 Kathlyn Bergeron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathlyn Bergeron accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Quartz and Sanford Health Plan and 1 other insurer list Kathlyn 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 Kathlyn Bergeron was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.