Individual provider · Type 1 NPI

Tracy L. Bergum, MSN, FNP-C, APNP

Nurse Practitioner · Lake Mills, WI

NPI number 1750929972 Active

Practice location

N6781 Woodfield Ln
Lake Mills, WI 53551-9735

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9748-33 (WI)
Registered Nurse 163W00000X98981-30 (WI)
Family Nurse Practitioner 363LF0000XF08191041 (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…

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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.