LAUREN BOURDEAU
NPI 1164793659
Nurse Practitioner - Family in West Nyack, NY

Active since January 16, 2012PECOS EnrolledAccepts Medicare Assignment
20 WEST ST, WEST NYACK, NY 10994(845) 405-3080 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1164793659
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN BOURDEAU
Location Address20 WEST STWest Nyack, NY 10994-1920
Mailing Address20 West StWest Nyack, NY 10994-1920 · (845) 405-3080
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 16, 2012
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
NPI 1164793659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 356166
Also ListedRegistered NurseTaxonomy 163W00000X · License 649745 (NY)
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 689033 (NY)
20 WEST ST, West Nyack, NY 10994

Other Names 1

Former Name (1)Lauren Blanchette Fnp, Rn-bc

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3577081256
PECOS Enrollment IDI20250516000612
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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

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 18 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.