LAURA ANN LEBOURDAIS PA-C
NPI 1104349133
Physician Assistant in Portland, ME

Q: What is Laura Lebourdais's NPI number?

The NPI number for Laura Lebourdais is 1104349133. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Q: What is Laura Lebourdais's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Lebourdais was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

887 CONGRESS ST, PORTLAND, ME 04102(207) 774-6368(207) 774-9388 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 21, 2017 (2 updates tracked since 2017).

On this page

About Laura Ann Lebourdais Pa-c NPPES

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

LAURA ANN LEBOURDAIS PA-C (NPI 1104349133) is an individual physician assistant in Portland, Maine and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1104349133

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAURA ANN LEBOURDAISCredential: PA-C

Location Address887 CONGRESS STPortland, ME 04102-3100

Mailing Address56 Exchange St Apt 33Portland, ME 04101-5032 · (207) 522-5964

Phone(207) 774-6368

Fax(207) 774-9388

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 21, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1104349133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

887 CONGRESS ST, Portland, ME 04102

Open in Google Maps ↗

Secondary Practice Location 1

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-6934 · Fax (207) 662-6389

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Ann Lebourdais Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436415643

PECOS Enrollment IDI20171103001297

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

MS. NICOLE L. MIZNER C.P.N.P.

Nurse Practitioner (Pediatrics)

887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102

Cumberland County (207) 773-2723

KENNETH LOMBARD M.D.

Pediatrics (Pediatric Gastroenterology)

887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102

Cumberland County (207) 662-5522

JANICE M STILKEY PNP

Nurse Practitioner (Pediatrics)

887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102

Cumberland County (207) 662-5522

LESLIE S WU MD

Surgery

887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102

Cumberland County (207) 774-6368

ANNE C COATES M.D.

Pediatrics (Pediatric Pulmonology)

887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102

Cumberland County (207) 662-5522

MARIE H TANZER MD

Pediatrics (Pediatric Nephrology)

887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102

Cumberland County (207) 662-5522

MAINEHEALTH

Obstetrics & Gynecology (Maternal & Fetal Medicine)

887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102

Cumberland County (207) 771-5549

DR. COLBY A WYATT MD PHD

Pediatrics (Pediatric Pulmonology)

887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102

Cumberland County (207) 662-5522

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 Laura Lebourdais's NPI number?

The NPI number for Laura Lebourdais is 1104349133. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Laura Lebourdais located?

Laura Lebourdais practices at 887 Congress St, Portland, ME 04102. The listed phone number is (207) 774-6368.

What is Laura Lebourdais's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Lebourdais enrolled in Medicare?

Yes. Laura Lebourdais is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Laura Lebourdais affiliated with any hospitals?

According to CMS data, Laura Lebourdais is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Laura Lebourdais was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.