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DR. ELIZABETH ANNE HESKETT BOURESSA M.D.
NPI 1104890631
Pediatrics in Albany, OR

Active since February 13, 2006PECOS Enrolled
734 ELM ST SW, ALBANY, OR 97321(541) 812-5111 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Elizabeth Anne Heskett Bouressa M.d. NPPES

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

DR. ELIZABETH ANNE HESKETT BOURESSA M.D. (NPI 1104890631) is an individual pediatrics provider in Albany, Oregon, licensed in Oregon (MD203466) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1104890631
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIZABETH ANNE HESKETT BOURESSACredential: M.D.
Location Address734 ELM ST SWAlbany, OR 97321-1934
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Phone(541) 812-5111
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateJune 20, 2023
NPPES CertifiedJune 20, 2023
✔ NPI 1104890631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD203466
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
734 ELM ST SW, Albany, OR 97321
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Other Names 1

Professional Name (2)Dr. Elizabeth Heskett M.d.

Secondary Practice Location 1

Location 12073 Olympic StSpringfield, OR 97477-3413 · Phone (541) 682-3550

Other Identifiers 1

Medicaid082623OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Anne Heskett Bouressa M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Bouressa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany General Hospital
Same address
Pediatrics
734 ELM ST SW
Albany, OR 97321
  • Reassigned Medicare billing, Oregon enrollment
  • 432 clinicians in this Medicare group
NPI 1932465192 (541) 812-5111
Lane County Oregon
40 mi
Federally Qualified Health Center (FQHC)
2073 OLYMPIC ST
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 143 clinicians in this Medicare group
NPI 1326138314 (541) 682-3550

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 97321 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

ADAM B PAUL MD
Pediatrics
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111
DR. NEDA AFZALI M.D.
Pediatrics
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111
ROSA E PLASCENCIA LCSW
Social Worker (Clinical)
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111
JAMES PASH DO
Pediatrics
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111
DR. LISA A. BOYD M.D.
Pediatrics
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111
KARA M KNOWLES M.D.
Pediatrics
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111
DR. SETH K ARROW MD
Pediatrics
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111
RYAN TUCKER D.O.
Pediatrics
734 ELM ST SW
ALBANY, OR 97321
Benton County (541) 812-5111

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 Elizabeth Bouressa's NPI number?

The NPI number for Elizabeth Bouressa is 1104890631. It was assigned to this individual provider in the NPPES registry on February 13, 2006. The provider is also known as Dr. Elizabeth Heskett M.D..

Where is Elizabeth Bouressa located?

Elizabeth Bouressa practices at 734 Elm St SW, Albany, OR 97321. The listed phone number is (541) 812-5111.

What is Elizabeth Bouressa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Bouressa enrolled in Medicare?

Yes. Elizabeth Bouressa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Bouressa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Bouressa reassigns Medicare benefits to 2 organizations: Albany General Hospital (Albany, OR) and Lane County Oregon (Springfield, OR). Each 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 Elizabeth Bouressa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Bouressa accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elizabeth Bouressa 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 Elizabeth Bouressa was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.