LAUREN BOURDEAU
NPI 1164793659
Nurse Practitioner - Family in West Nyack, NY
About Lauren Bourdeau NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN BOURDEAU (NPI 1164793659) is an individual family provider in West Nyack, New York, licensed in New York (356166) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lauren Bourdeau 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lauren Bourdeau reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Englewood, NJ 07631
- Reassigned Medicare billing, New York enrollment
- 106 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, New York enrollment
- 27 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, New York enrollment
- 325 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 10994 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lauren Bourdeau's NPI number?
The NPI number for Lauren Bourdeau is 1164793659. It was assigned to this individual provider in the NPPES registry on January 16, 2012. The provider is also known as Lauren Blanchette Fnp, Rn-Bc.
Where is Lauren Bourdeau located?
Lauren Bourdeau practices at 20 West St, West Nyack, NY 10994. The listed phone number is (845) 405-3080.
What is Lauren Bourdeau's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lauren Bourdeau enrolled in Medicare?
Yes. Lauren Bourdeau 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.
Which organizations bill Medicare for Lauren Bourdeau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Bourdeau reassigns Medicare benefits to 3 organizations: Jds Medical Services PC (Englewood, NJ), Provider Partners Care Management LP (Columbia, MD) and Medical Director Services PC (Princess Anne, MD). 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 Lauren Bourdeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lauren Bourdeau was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Lauren Bourdeau · NPI 1164793659
Family physician in West Nyack, New York. Individual provider, active in the CMS NPPES registry since January 16, 2012.
## Identity
- **NPI:** 1164793659 (Entity type: Individual)
- **Enumerated:** January 16, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 356166 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 WEST ST, West Nyack, NY 10994-1920
- **Phone:** (845) 405-3080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jds Medical Services PC (NPI 1174224653, Englewood, NJ); Provider Partners Care Management LP (NPI 1013348028, Columbia, MD); Medical Director Services PC (NPI 1871955807, Princess Anne, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164793659) · Data from the CMS NPPES public registry.