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

Kelly Jo Bergevin, APRN

Individual provider Primary Care Nurse Practitioner · NPI 1265113641

Kelly Jo Bergevin, APRN is a Nurse Practitioner in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2023, 3 years ago. Practices with Quality Living Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

6320 N 70th Plz
Omaha, NE 68104-1074
Phone: (402) 573-3761
Fax: (402) 573-3780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 114925 (NE)

Record details

NPI number1265113641
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Quality Living Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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