MRS. ANN MARIE BERGREN (NPI# 1518392752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518392752 |
| Entity Type | Individual |
| Full Name | MRS. ANN MARIE BERGREN |
| Other Name | ANN MARIE RECORD BERGREN |
| Credential | MSN FNP |
| Practice Address |
730 10th Ave Baldwin WI 54002-9416 |
| Mailing Address |
1131 20th Ave Deer Park WI 54007-4113 |
| Practice Telephone | 7156843311 |
| Practice Fax Number | 7156845865 |
| Mailing Telephone | 7155232086 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5444 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
730 10TH AVE |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224589 | Gregory John Estlund | Family Medicine | 730 10th Ave, Baldwin, WI 54002-9416 | 2006-02-15 |
| 1356711816 | Jayne Elizabeth Rimer | Clinic/Center | 730 10th Ave, Baldwin, WI 54002-9416 | 2015-09-28 |
| 1497135313 | Brandon Lorrig | Specialist/Technologist | 730 10th Ave, Baldwin, WI 54002-9416 | 2015-06-05 |
| 1164709846 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 730 10th Ave, Baldwin, WI 54002-9416 | 2011-11-09 |
| 1184917866 | Arianne M Fredrickson | Physician Assistant | 730 10th Ave, Baldwin, WI 54002-9416 | 2011-05-27 |
| 1851604284 | Cheri A. Rott | Dietitian, Registered | 730 10th Ave, Baldwin, WI 54002-9416 | 2010-07-14 |
| 1679729602 | Kimberly K Mcdonald | Social Worker | 730 10th Ave, Baldwin, WI 54002-9416 | 2008-08-11 |
| 1902081326 | Natasha R Ward | Dietitian, Registered | 730 10th Ave, Baldwin, WI 54002-9416 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702648 | Desiree Mckenzie | Nurse Practitioner | 2707 Wilddale Rd, Baldwin, NY 11510-4128 | 2020-05-26 |
| 1639739766 | Whittney Brooke Hagene | Nurse Practitioner | 10749 Gander Hollow Rd, Baldwin, IL 62217-1502 | 2019-06-20 |
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1326432113 | Carmen Reid | Nurse Practitioner | 915 Ocean St, Baldwin, NY 11510-4723 | 2015-03-19 |
| 1932476108 | Kettly Richard | Nurse Practitioner | 2664 Hansen Pl, Baldwin, NY 11510-4137 | 2011-11-16 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| 1982836656 | Stacie B Migues | Nurse Practitioner | 100 Live Oak St, Baldwin, LA 70514-0000 | 2009-08-14 |
| 1831712355 | Nicole Lee Samudio | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-05-19 |
| 1487186441 | Maureen Burnham | Nurse Practitioner | 386 Highway 441 Byp, Baldwin, GA 30511-1807 | 2017-03-29 |
| 1295282218 | Allison Marie Morning | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2016-09-07 |
| Find all providers in BALDWIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.