TRACY L BERGUM MSN, FNP-C, APNP
NPI 1750929972
Nurse Practitioner in Lake Mills, WI

Q: What is Tracy Bergum's NPI number?

The NPI number for Tracy Bergum is 1750929972. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Q: What is Tracy Bergum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Bergum was last updated on January 9, 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.

Active since December 18, 2019PECOS Enrolled

N6781 WOODFIELD LN, LAKE MILLS, WI 53551(920) 222-0354 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2026, Feb 17, 2025, Feb 4, 2025 and 1 more (4 updates tracked since 2019).

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About Tracy L Bergum Msn, Fnp-c, Apnp NPPES

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

TRACY L BERGUM MSN, FNP-C, APNP (NPI 1750929972) is an individual nurse practitioner in Lake Mills, Wisconsin, licensed in Wisconsin (9748-33) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750929972

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTRACY L BERGUMCredential: MSN, FNP-C, APNP

Location AddressN6781 WOODFIELD LNLake Mills, WI 53551-9735

Mailing AddressN6781 Woodfield LnLake Mills, WI 53551-9735 · (920) 222-0354

Phone(920) 222-0354

Sole ProprietorNo

Enumeration DateDecember 18, 2019

Last NPPES UpdateJanuary 9, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1750929972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 9748-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 98981-30 (WI)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F08191041 (WI)

N6781 WOODFIELD LN, Lake Mills, WI 53551

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Other Identifiers 1

Medicaid1750929972WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy L Bergum Msn, Fnp-c, Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53551 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.

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 Tracy Bergum's NPI number?

The NPI number for Tracy Bergum is 1750929972. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Tracy Bergum located?

Tracy Bergum practices at N6781 Woodfield Ln, Lake Mills, WI 53551. The listed phone number is (920) 222-0354.

What is Tracy Bergum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tracy Bergum enrolled in Medicare?

Yes. Tracy Bergum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Bergum was last updated on January 9, 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.