MRS. BETH ALYSON BOURQUIN CNP
NPI 1144732579
Nurse Practitioner - Pediatrics in Dayton, OH
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
Specialties & Licenses 2
Secondary Practice Locations 10
Other Identifiers 1
Group Practice 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)
Mrs. Beth Alyson Bourquin Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Beth Bourquin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Hospital
- 165 clinicians in this Medicare group
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
- 479 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 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.
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.
DAYTON, OH 45404
DAYTON, OH 45404
DAYTON, OH 45404
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.
Which organizations bill Medicare for Beth Bourquin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beth Bourquin reassigns Medicare benefits to 2 organizations: Dayton Children's Hospital (Dayton, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). 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 Beth Bourquin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Beth Bourquin accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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 5 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.
# Mrs. Beth Alyson Bourquin, CNP · NPI 1144732579
Pediatrics physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since October 25, 2017.
## Identity
- **NPI:** 1144732579 (Entity type: Individual)
- **Enumerated:** October 25, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN.CNP.021714 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 CHILDRENS PLZ, Dayton, OH 45404-1873
- **Phone:** (937) 641-5444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dayton Children's Hospital (NPI 1548045503, Dayton, OH); Dayton Children's Specialty Physicians, Inc. (NPI 1225192610, Dayton, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2026
- **Other identifiers:** Medicaid 0250859 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1144732579) · Data from the CMS NPPES public registry.