ADRIANA M BOURNE PA
NPI 1194288720
Physician Assistant in Livonia, MI
About Adriana M Bourne Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADRIANA M BOURNE PA (NPI 1194288720) is an individual physician assistant in Livonia, Michigan, licensed in Michigan (5601008980) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Hurley Medical Center, and maintains a secondary practice location in Lansing.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
Adriana M Bourne Pa 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hurley Medical Center
Acute Care Hospitals · Flint, MIMclaren Flint
Acute Care Hospitals · Flint, MIAscension Genesys Hospital
Acute Care Hospitals · Grand Blanc, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LIVONIA, MI 48154
LIVONIA, MI 48154
LIVONIA, MI 48154
LIVONIA, MI 48154
LIVONIA, MI 48154
LIVONIA, MI 48154
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 Adriana Bourne's NPI number?
The NPI number for Adriana Bourne is 1194288720. It was assigned to this individual provider in the NPPES registry on April 10, 2019. The provider is also known as Adriana Maria Ledesma PA.
Where is Adriana Bourne located?
Adriana Bourne practices at 14555 Levan Rd Ste 311, Livonia, MI 48154. The listed phone number is (734) 655-2692.
What is Adriana Bourne's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Adriana Bourne enrolled in Medicare?
Yes. Adriana Bourne 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.
What insurance does Adriana Bourne accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Adriana Bourne 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.
Is Adriana Bourne affiliated with any hospitals?
According to CMS data, Adriana Bourne is affiliated with Hurley Medical Center, Mclaren Flint and Ascension Genesys Hospital.
When was this NPI record last updated?
The NPPES record for Adriana Bourne was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Adriana M Bourne, PA · NPI 1194288720
Physician Assistant physician in Livonia, Michigan. Individual provider, active in the CMS NPPES registry since April 10, 2019.
## Identity
- **NPI:** 1194288720 (Entity type: Individual)
- **Enumerated:** April 10, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5601008980 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 14555 LEVAN RD, STE 311, Livonia, MI 48154
- **Phone:** (734) 655-2692 · **Fax:** (734) 655-4218
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194288720) · Data from the CMS NPPES public registry.