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

Renae Bergeron

Individual provider Nurse Practitioner · NPI 1215810932

Renae Bergeron is a Nurse Practitioner in Virginia Beach, Virginia. Qualified in 2025, 1 year ago. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

1205 Bartlett Oaks Ct
Virginia Beach, VA 23456-6853
Phone: (985) 474-0181
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024196466 (VA)

Record details

NPI number1215810932
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2025
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address1205 Bartlett Oaks Ct, Virginia Beach, VA 23456-6853

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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