Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE CHARLES GARDNER BOUGARD RN
NPI 1154613743
Nurse Practitioner - Psychiatric/Mental Health in Honolulu, HI

Q: What is Katherine Gardner Bougard's NPI number?

The NPI number for Katherine Gardner Bougard is 1154613743. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Q: What is Katherine Gardner Bougard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Katherine Gardner Bougard enrolled in Medicare?

No. Katherine Gardner Bougard has opted out of Medicare through April 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since May 13, 2011Opted out of Medicare · through Apr 29, 2028

1301 PUNCHBOWL ST, HONOLULU, HI 96813(808) 547-4221(808) 537-7896 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katherine Charles Gardner Bougard Rn NPPES

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

KATHERINE CHARLES GARDNER BOUGARD RN (NPI 1154613743) is an individual psychiatric/mental health provider in Honolulu, Hawaii, licensed in Hawaii (APRN3101) and active in the NPI registry since May 2011. She has opted out of Medicare through April 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154613743

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATHERINE CHARLES GARDNER BOUGARDCredential: RN

Location Address1301 PUNCHBOWL STHonolulu, HI 96813-2402

Mailing Address1301 Punchbowl StHonolulu, HI 96813-2402 · (808) 547-4221 · Fax (808) 537-7896

Phone(808) 547-4221

Fax(808) 537-7896

Sole ProprietorNo

Enumeration DateMay 13, 2011

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1154613743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in HI · APRN3101

1301 PUNCHBOWL ST, Honolulu, HI 96813

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine Charles Gardner Bougard Rn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2026 through April 29, 2028.

Opt-Out Effective DateApril 29, 2026

Opt-Out In Effect ThroughApril 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

NISHAL BRAHMBHATT MD

Internal Medicine (Critical Care Medicine)