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MRS. JESSICA ANN BOURGEOIS D.O.
NPI 1063252674
Student in an Organized Health Care Education/Training Program in Lititz, PA

Active since May 30, 2024PECOS Enrolled
1500 HIGHLANDS DRIVE, LITITZ, PA 17543(717) 625-5646 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jessica Ann Bourgeois D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA ANN BOURGEOIS D.O. (NPI 1063252674) is an individual student in an organized health care education/training program in Lititz, Pennsylvania and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063252674
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. JESSICA ANN BOURGEOISCredential: D.O.
Location Address1500 HIGHLANDS DRIVELititz, PA 17543
Mailing Address3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213
Phone(717) 625-5646
Sole ProprietorNo
Enumeration DateMay 30, 2024
✔ NPI 1063252674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 HIGHLANDS DRIVE, Lititz, PA 17543
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Other Names 1

Former Name (1)Jessica Ann Fleury

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Ann Bourgeois D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA E WONG DO
Student in an Organized Health Care Education/Training Program
1500 HIGHLANDS DRIVE
LITITZ, PA 17543
Lancaster County (717) 625-5668

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 Jessica Bourgeois's NPI number?

The NPI number for Jessica Bourgeois is 1063252674. It was assigned to this individual provider in the NPPES registry on May 30, 2024. The provider is also known as Jessica Ann Fleury.

Where is Jessica Bourgeois located?

Jessica Bourgeois practices at 1500 Highlands Drive, Lititz, PA 17543. The listed phone number is (717) 625-5646.

What is Jessica Bourgeois's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Bourgeois enrolled in Medicare?

Yes. Jessica Bourgeois is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Bourgeois was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.