Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline J Bergner, APNP

Individual provider Adult Health Nurse Practitioner · NPI 1205260411

Jacqueline J Bergner, APNP is a Nurse Practitioner in Brookfield, Wisconsin. Qualified in 2013, 13 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2013
Specialties on file
2

Practice location Address checks out

17000 W North Ave 104W
Brookfield, WI 53005-4423
Phone: (262) 785-7430
Fax: (262) 785-7431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5397 (WI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5397 (WI)

Record details

NPI number1205260411
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 23, 2013
Last updated in NPPESAugust 23, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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