Doctor profile · Federal record

Dr. Shamir Bergeron, APRN

Family Nurse Practitioner (CMS: Nurse Practitioner) · Mount Dora, FL

  • NPI 1609441609
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5741 Ansley Way
Mount Dora, FL 327578005
(352) 989-7808
Mailing address
2710 Dora Ave
Tavares, FL 327784970

Credentials & registration

NPPES · NUCC
NPI registered
May 2021 — 5 yrs on file
Profile last updated
February 21, 2023
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Florida #11013119

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609441609. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$111
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Novo Nordisk Inc 1 $110.97

By nature of payment

Food and Beverage
$111

Frequently asked questions

Auto-generated from federal data
What is Dr. Shamir Bergeron's medical specialty?
Dr. Shamir Bergeron practices Family Nurse Practitioner in Mount Dora, FL.
Where does Dr. Shamir Bergeron practice?
Dr. Shamir Bergeron practices at 5741 Ansley Way, Mount Dora, FL 327578005. Office phone: 3529897808.
What is Dr. Shamir Bergeron's NPI?
Dr. Shamir Bergeron's National Provider Identifier (NPI) is 1609441609, issued by NPPES.
Does Dr. Shamir Bergeron accept Medicare assignment?
Yes. Dr. Shamir Bergeron accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.