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

Stacy Lea Clark Bergeron Carter, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1033795232

Stacy Lea Clark Bergeron Carter, APRN is a Nurse Practitioner in Hollywood, Florida. Qualified in 2020, 6 years ago. Practices with South Broward Hospital District, a 665-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
Specialties on file
2
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

3501 Johnson St
Hollywood, FL 33021-5421
Phone: (954) 265-7750
Fax: (954) 276-0280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028-1013 — (954) 265-7750

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11011922 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 11011922 (FL)

Record details

NPI number1033795232
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedMarch 19, 2021
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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