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NOAH C BOURNE DNP, AGPCNP-BC
NPI 1194508002
Nurse Practitioner - Adult Health in Orchard Park, NY

Active since August 15, 2023PECOS EnrolledAccepts Medicare Assignment
3055 SOUTHWESTERN BLVD STE 100, ORCHARD PARK, NY 14127(716) 675-2500 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Noah C Bourne Dnp, Agpcnp-bc NPPES

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

NOAH C BOURNE DNP, AGPCNP-BC (NPI 1194508002) is an individual adult health provider in Orchard Park, New York, licensed in New York (311374) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains a secondary practice location in Amherst.

NPPES Registry Identity

NPI1194508002
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameNOAH C BOURNECredential: DNP, AGPCNP-BC
Location Address3055 SOUTHWESTERN BLVD STE 100Orchard Park, NY 14127-1231
Mailing Address3055 Southwestern Blvd Ste 100Orchard Park, NY 14127-1231 · (716) 675-2500
Phone(716) 675-2500
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2023
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1194508002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 311374
3055 SOUTHWESTERN BLVD STE 100, Orchard Park, NY 14127
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Secondary Practice Location 1

Location 13500 Sheridan Dr Side EntranceAmherst, NY 14226-1548 · Phone (716) 204-4263

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

Noah C Bourne Dnp, Agpcnp-bc 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 ID2961851076
PECOS Enrollment IDI20231214003216
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL JAMES FENNELL II PA-C
Physician Assistant
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
DR. LINDA M BURNS D.O.
Internal Medicine
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
AMAR OZA M.D.
Internal Medicine (Rheumatology)
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
DR. CHATHURA SANKALPA WIJEWARDENA M.D
Internal Medicine (Rheumatology)
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500

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 Noah Bourne's NPI number?

The NPI number for Noah Bourne is 1194508002. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Noah Bourne located?

Noah Bourne practices at 3055 Southwestern Blvd Ste 100, Orchard Park, NY 14127. The listed phone number is (716) 675-2500.

What is Noah Bourne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Noah Bourne enrolled in Medicare?

Yes. Noah 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.

Is Noah Bourne affiliated with any hospitals?

According to CMS data, Noah Bourne is affiliated with Kaleida Health, Sisters Of Charity Hospital, Kenmore Mercy Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Noah Bourne was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.