Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Maricela Bergstrom, MSNAPRNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1992218762

Mrs. Maricela Bergstrom, MSNAPRNFNP-BC is a Nurse Practitioner in Austin, Texas. Qualified in 2017, 9 years ago. Practices with Renaissance Medical Foundation, a 175-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
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Practice location Address checks out

823 Congress Ave Ste 150-518
Austin, TX 78701-2405
Phone: (888) 380-0988
Fax: (289) 236-3022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP135838 (TX)

Record details

NPI number1992218762
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNAPRNFNP-BC
Sole proprietorNo
NPI enumeratedNovember 14, 2017
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Renaissance Medical Foundation — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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