Mrs Kaci Renee Bergquist, CNP in Lafayette, LA

Mrs Kaci Renee Bergquist, CNP is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Louisiana. Her current practice location is 4630 Ambassador Caffery Pkwy Ste 302, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 470-3887.

Mrs Kaci Renee Bergquist is licensed to practice in Louisiana (license number 226636) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124751854.

Contact Information

	Mrs Kaci Renee Bergquist, CNP
	4630 Ambassador Caffery Pkwy Ste 302, Lafayette, LA 70508-6950
	(337) 470-3887
	(337) 470-3896

Map and Direction

Provider's Profile

Full Name	Mrs Kaci Renee Bergquist
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4630 Ambassador Caffery Pkwy Ste 302, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124751854
Provider Enumeration Date: 07/09/2022
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 0446636294
Enrollment ID: I20220930001121

Medical Identifiers

Medical identifiers for Mrs Kaci Renee Bergquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124751854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	226636 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kaci Renee Bergquist allows following entities to bill medicare on her behalf.

Entity Name	Lafayette Health Ventures Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kaci Renee Bergquist is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kaci Renee Bergquist, CNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 470-3887	Mrs Kaci Renee Bergquist, CNP 4630 Ambassador Caffery Pkwy Ste 302, Lafayette, LA 70508-6950 Ph: (337) 470-3887

Reviews and Comments

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Mrs Kaci Renee Bergquist, CNP - Medicare Nurse Practitioner in Lafayette, LA