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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720420243

Kathlyn Bergeron, APRN-CNP is a Certified Clinical Nurse Specialist (Cns) in Woodbury, Minnesota. Qualified in 2013, 13 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Minnesota and Wisconsin.

Years since qualifying
13
Licensed in
IA, MN, WI
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741
Phone: (651) 714-9646
Fax: (951) 714-9647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2596 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence G179941 (IA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10970-33 (WI)

Record details

NPI number1720420243
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 25, 2013
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Woodbury