LISA MARIE BERGERON (APRN) – Family Nurse Practitioner, NPI 1366715179
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for LISA MARIE BERGERON (APRN)
400 COLUMBUS AVE
NEW HAVEN, CT 065191233
Phone: (203) 503-3250
Fax: (203) 503-3254
Type: Mailing
351 N FRONTAGE RD
NEW LONDON, CT 063202628
Phone: (860) 865-0934
Fax: (608) 650-9358
Type: Location
627 NORWICH SALEM TPKE UNIT 2
OAKDALE, CT 063701066
Phone: (860) 222-0949
Fax: (203) 503-3254
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-03-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120327000056 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 72 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 50 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| 81003 | Automated urinalysis test | 23 | 23 | $0 |
Insurance plans in this area (ZIP 06519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Pediatric Medicine, Emergency Medicine | CT | |
| Emergency Medicine, Pediatric Medicine | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT |
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