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Active NPI 1033795232 Individual Practitioner Female Practitioner

Stacy Lea Clark Bergeron Carter , APRN

Nurse Practitioner • Hollywood, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Clark Bergeron Carter, APRN is a certified Nurse Practitioner practicing in Hollywood, FL. With approximately 6 years of clinical experience since completing medical education in 2020, Stacy Clark Bergeron Carter delivers high-quality medical care to the local community at 3501 JOHNSON ST.

Stacy Clark Bergeron Carter is affiliated with South Broward Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3501 Johnson St

Hollywood, FL 330215421

Telephone 9542657750
Fax 9542760280
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hollywood, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
99 Specialists

Practicing in Hollywood, FL (8990 Statewide)

Telehealth Adoption Rate
10.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark Bergeron Carter (6 Years) 6 Yrs
Hollywood Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
88 44 $230.00 $67.08

Medical Specialties & State Licenses

CMS Verified: 2022-03-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11011922

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License FL 11011922

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
113475400 (FL)

Hospital & Practice Group Affiliations

South Broward Hospital District

3501 Johnson St, Hollywood, FL 330215421

Phone: 9542657750

South Broward Hospital District

601 N Flamingo Rd, Pembroke Pines, FL 330281010

Phone: 9542657750

Secondary Practice Locations

603 N Flamingo Rd Ste 255

Pembroke Pines, FL 330281013

Phone: 9542657750

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Jose Garcia , MD

Transplant Surgery

NPI 1033261227

Doctor of Medicine (M.D.)

Tae Song

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1053564732
Barbara Silva , ARNP

Nurse Practitioner - Adult Health

NPI 1245558501

Advanced Registered Nurse Practitioner

Diana Miller , APRN

Nurse Practitioner - Acute Care

NPI 1295453819

Advanced Practice Registered Nurse

Nazeem Arshad

Nurse Practitioner - Acute Care

NPI 1407459241
Teresa Bueno , ARNP

Nurse Practitioner

NPI 1457433609

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 29, 2022

Registered at 3501 JOHNSON ST, HOLLYWOOD, FL 330215421 (Tel: 9542657750)

📍
Updated Business Mailing Address March 29, 2022

Registered at 2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 330253925 (Tel: 9542765685)

👤
Provider Name / Credentials Updated March 29, 2022

Recorded as STACY CLARK BERGERON CARTER, APRN

NPI Profile Active March 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2021

Registered at 2772 OAKVIEW WAY, DAVIE, FL 333286951 (Tel: 9546449356)

📍
Updated Business Mailing Address March 19, 2021

Registered at 2772 OAKVIEW WAY, DAVIE, FL 333286951 (Tel: 9546449356)

👤
Provider Name / Credentials Updated March 19, 2021

Recorded as STACY CARTER, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2021

Nurse Practitioner (License #11011922 in FL)

🟢
Initial NPI Registration & Enumeration March 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033795232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2021
Last Update: March 29, 2022
Sole Proprietor: Yes

Mailing Address

2900 Corporate Way, Door D

Miramar, FL 330253925

Phone: 9542765685

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.