Kelly Jo Bergevin, APRN
NPI 1265113641ActiveIndividual· Nurse Practitioner, Primary Care· Omaha, NE
Nurse Practitioner, Primary Care (APRN) in Omaha, Nebraska, trained at University of Nebraska College of Medicine (class of 2023). Their prescriptions cost Medicare Part D more than their services did: $24,666 for 354 claims, against $3,546 paid for services in 2024.
Overview
| NPI | 1265113641 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jul 27, 2023 |
| Last updated in NPPES | Feb 10, 2026 |
| Certified by provider | Feb 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 114925 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 55 across 6 procedure codes |
| Paid by Medicare | $3,546 |
Part D prescriptions in 2024
| Prescriptions (claims) | 354 · 360 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $24,666 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Quality Living IncOmaha, NE · 3 clinicians
Hospital affiliations
- Chi Health ImmanuelOmaha, NE
- The Nebraska Methodist HospitalOmaha, NE
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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