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

Leona M Bergen, ACNPC-AG

Individual provider Gerontology Nurse Practitioner · NPI 1831636281

Leona M Bergen, ACNPC-AG is a Nurse Practitioner in Poplar Bluff, Missouri. Qualified in 2016, 10 years ago. Practices with Poplar Bluff Hma Physician Management, LLC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2017
Specialties on file
3

Practice location Address checks out

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone: (573) 776-2000
Show map & directions

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

Additional practice locations (1)

  • 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 — (573) 778-2000

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2016037517 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2019007962 (MO)

Record details

NPI number1831636281
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedJanuary 24, 2017
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Poplar Bluff Hma Physician Management, Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare