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

MR. RYAN BOURGOINE
NPI 1215744990
Nurse Practitioner - Acute Care in Albuquerque, NM

Active since December 16, 2024
504 ELM ST NE, ALBUQUERQUE, NM 87102(505) 841-1000 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2026, Jul 22, 2026, May 19, 2026 and 1 more (4 updates tracked since 2024).

About Mr. Ryan Bourgoine NPPES

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

MR. RYAN BOURGOINE (NPI 1215744990) is an individual acute care provider in Albuquerque, New Mexico, licensed in New Mexico (90733) and active in the NPI registry since December 2024. He maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1215744990
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. RYAN BOURGOINE
Location Address504 ELM ST NEAlbuquerque, NM 87102-2512
Mailing Address504 Elm St NeAlbuquerque, NM 87102-2512 · (505) 841-1000
Phone(505) 841-1000
Sole ProprietorNo
Enumeration DateDecember 16, 2024
Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1215744990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NM · 90733
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN80646 (NM)
504 ELM ST NE, Albuquerque, NM 87102
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Secondary Practice Location 1

Location 145211 Helm StPlymouth, MI 48170-6023 · Phone (734) 525-9712

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.

COMPREHENSIVE HOSPITALIST SERVICES OF NEW MEXICO LLC
Hospitalist
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 724-2000
DR. KEVIN MARCUS ROSENBERG M.D.
Emergency Medicine
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 724-2000
DAVID A GONZALES MD
Internal Medicine
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 724-2005
JESSICA ABIGAIL MCCOY
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-3170
MISS KALINA MARIA CORDOVA
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-6000
SAMANTHA MATTEUCCI ACNPC-AG
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 841-1000
JOSIAH THOMAS MILES MD
Anesthesiology
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-1100
ROBYN MITCHELL AGACNP-BC
Nurse Practitioner (Acute Care)
504 ELM ST NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 692-3555

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 Ryan Bourgoine's NPI number?

The NPI number for Ryan Bourgoine is 1215744990. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Ryan Bourgoine located?

Ryan Bourgoine practices at 504 Elm St NE, Albuquerque, NM 87102. The listed phone number is (505) 841-1000.

What is Ryan Bourgoine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Ryan Bourgoine was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.