Individual provider · Type 1 NPI
Tracy L. Bergum, MSN, FNP-C, APNP
Nurse Practitioner · Lake Mills, WI
Practice location
N6781 Woodfield Ln
Lake Mills, WI 53551-9735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 9748-33 (WI) |
| Registered Nurse | 163W00000X | 98981-30 (WI) |
| Family Nurse Practitioner | 363LF0000X | F08191041 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in Lake Mills
About NPI 1750929972
Tracy L. Bergum, MSN, FNP-C, APNP's National Provider Identifier is 1750929972, issued on Dec 18, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Mills, WI. The record was last updated on Jan 9, 2026.