MRS. BETH ALYSON BOURQUIN CNP
NPI 1144732579
Nurse Practitioner - Pediatrics in Dayton, OH

Q: What is Beth Bourquin's NPI number?

The NPI number for Beth Bourquin is 1144732579. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Q: What is Beth Bourquin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Beth Bourquin was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 25, 2017PECOS Enrolled

1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-5444 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, Jun 12, 2025, Feb 6, 2024 and 1 more (4 updates tracked since 2017).

On this page

About Mrs. Beth Alyson Bourquin Cnp NPPES

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

MRS. BETH ALYSON BOURQUIN CNP (NPI 1144732579) is an individual pediatrics provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.021714) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1144732579

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. BETH ALYSON BOURQUINCredential: CNP

Location Address1 CHILDRENS PLZDayton, OH 45404-1873

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072

Phone(937) 641-5444

Sole ProprietorYes

Enumeration DateOctober 25, 2017

Last NPPES UpdateMay 28, 20264 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1144732579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OH · APRN.CNP.021714

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 021714 (OH)

1 CHILDRENS PLZ, Dayton, OH 45404

Open in Google Maps ↗

Secondary Practice Locations 10

Location 1792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237

Location 23333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050

Location 36044 Wilmington PikeCenterville, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108

Location 4860 Valley St.Dayton, OH 45404 · Phone (937) 641-3060 · Fax (937) 641-3285

Location 5662 N Main StSpringboro, OH 45066-9553 · Phone (937) 641-5066 · Fax (937) 550-9797

Location 64475 Far Hills AveKettering, OH 45429-2405 · Phone (937) 641-3141 · Fax (937) 641-3190

Location 73301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395

Location 87787 Cox LnWest Chester, OH 45069-6549 · Phone (513) 644-8081 · Fax (513) 847-1192

Location 98501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791

Location 101711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172

Other Identifiers 1

Medicaid0250859OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. Beth Alyson Bourquin Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP

Pediatrics (Pediatric Critical Care Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANYA PAUL M.D

Pediatrics (Pediatric Emergency Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

NICOLE LYNNE-BENDT SCOTT

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

CODY H MCMILLAN

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANIA MONTENEGRO MS, MPH

Genetic Counselor, MS

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-5923

MS. FAITH ANGELA CALLIF-DALEY M.S.

Genetic Counselor, MS

1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404

Montgomery County (937) 641-5645

DR. EMMETT H BROXSON JR. MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3111

MISS SAUNDRA D ZERBE FNP

Nurse Practitioner (Family)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

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 Beth Bourquin's NPI number?

The NPI number for Beth Bourquin is 1144732579. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Beth Bourquin located?

Beth Bourquin practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-5444.

What is Beth Bourquin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Beth Bourquin enrolled in Medicare?

Yes. Beth Bourquin is registered in the Medicare PECOS enrollment system.

What insurance does Beth Bourquin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Beth Bourquin 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 Beth Bourquin was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.