JOANNA CHRISTINE BOURAIN DDS
NPI 1003482217
Dentist in Cottage Grove, MN
About Joanna Christine Bourain Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNA CHRISTINE BOURAIN DDS (NPI 1003482217) is an individual dentist in Cottage Grove, Minnesota, licensed in Minnesota (D14545) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joanna Christine Bourain Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joanna Bourain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota enrollment
- 192 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COTTAGE GROVE, MN 55016
COTTAGE GROVE, MN 55016
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joanna Bourain's NPI number?
The NPI number for Joanna Bourain is 1003482217. It was assigned to this individual provider in the NPPES registry on May 28, 2021.
Where is Joanna Bourain located?
Joanna Bourain practices at 6936 Pine Arbor Dr S Ste 210, Cottage Grove, MN 55016. The listed phone number is (217) 540-8386.
What is Joanna Bourain's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Joanna Bourain enrolled in Medicare?
Yes. Joanna Bourain is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joanna Bourain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Bourain reassigns Medicare benefits to Hennepin County (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joanna Bourain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joanna Bourain accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Joanna Bourain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Joanna Bourain was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Joanna Christine Bourain, DDS · NPI 1003482217
Dentist provider in Cottage Grove, Minnesota. Individual provider, active in the CMS NPPES registry since May 28, 2021.
## Identity
- **NPI:** 1003482217 (Entity type: Individual)
- **Enumerated:** May 28, 2021
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** D14545 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6936 PINE ARBOR DR S STE 210, Cottage Grove, MN 55016-4672
- **Phone:** (217) 540-8386
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Hennepin County (NPI 1780790345, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003482217) · Data from the CMS NPPES public registry.