DR. WENDY M BERGERON MD
NPI 1912984311
Family Medicine in Shakopee, MN
About Dr. Wendy M Bergeron Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WENDY M BERGERON MD (NPI 1912984311) is an individual family medicine provider in Shakopee, Minnesota, licensed in Minnesota (36231) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Minnesota Medical School (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Wendy M Bergeron Md 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 Reassignment
Medicare enrollment records show Wendy Bergeron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 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 23
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNSt Francis Regional Medical Center
Acute Care Hospitals · Shakopee, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Wendy Bergeron's NPI number?
The NPI number for Wendy Bergeron is 1912984311. It was assigned to this individual provider in the NPPES registry on December 27, 2005.
Where is Wendy Bergeron located?
Wendy Bergeron practices at 1415 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 993-7750.
What is Wendy Bergeron's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wendy Bergeron enrolled in Medicare?
Yes. Wendy 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 organization bills Medicare for Wendy Bergeron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Bergeron reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The 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 Wendy Bergeron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wendy Bergeron accept?
Health plans from HealthPartners and Medica list Wendy 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.
Is Wendy Bergeron affiliated with any hospitals?
According to CMS data, Wendy Bergeron is affiliated with Park Nicollet Methodist Hospital and St Francis Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Wendy Bergeron was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Wendy M Bergeron, MD · NPI 1912984311
Family Medicine physician in Shakopee, Minnesota. Individual provider, active in the CMS NPPES registry since December 27, 2005.
## Identity
- **NPI:** 1912984311 (Entity type: Individual)
- **Enumerated:** December 27, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 36231 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1415 SAINT FRANCIS AVE, Shakopee, MN 55379-3374
- **Phone:** (952) 993-7750
## 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:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1992
## Record status
- **NPPES last updated:** October 17, 2011
- **Other identifiers:** Medicaid 347723100 (MN); Medicare UPIN F68433 (MN); Medicare ID-Type Unspecified 080011906 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1912984311) · Data from the CMS NPPES public registry.