Healthcare Provider Details

I. General information

NPI: 1114846144
Provider Name (Legal Business Name): MEGAN BERGQUIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN SCHOEN

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 E 25TH ST
KEARNEY NE
68847-5506
US

IV. Provider business mailing address

620 E 25TH ST
KEARNEY NE
68847-5506
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-2767
  • Fax:
Mailing address:
  • Phone: 308-865-2767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116996
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: