DIANE BOURQUE NP
NPI 1235395773
Nurse Practitioner in Boston, MA

Active since August 04, 2008PECOS Enrolled
133 BROOKLINE AVE, ADULT TELECOM, BOSTON, MA 02215(617) 421-1000 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Diane Bourque Np NPPES

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

DIANE BOURQUE NP (NPI 1235395773) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (124668) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235395773
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDIANE BOURQUECredential: NP
Location Address133 BROOKLINE AVE, ADULT TELECOMBoston, MA 02215-3904
Mailing Address147 Milk St Fl 9, Provider EnrollmentBoston, MA 02109-4806 · (617) 559-8374 · Fax (617) 421-3487
Sole ProprietorNo
Enumeration DateAugust 4, 2008
NPI 1235395773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 124668
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

133 BROOKLINE AVE, Boston, MA 02215

Other Identifiers 3

Medicare UPINP31642MA
Medicare PINNP3268MA
Medicaid0367524MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Diane Bourque Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

Internal Medicine (Cardiovascular Disease)
133 BROOKLINE AVE, HARVARD VANGUARD MEDICAL ASSOCIATES
BOSTON, MA 02215
Nurse Practitioner
133 BROOKLINE AVE
BOSTON, MA 02215
Ophthalmology
133 BROOKLINE AVE, OPHTHALMOLOGY DEPT
BOSTON, MA 02215
Surgery
133 BROOKLINE AVE, SURGERY DEPT
BOSTON, MA 02215
Pediatrics
133 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology & Oncology)
133 BROOKLINE AVE, HEMATOLOGY - ONCOLOGY DEPT
BOSTON, MA 02215
Otolaryngology (Pediatric Otolaryngology)
133 BROOKLINE AVE
BOSTON, MA 02215
Audiologist
133 BROOKLINE AVE
BOSTON, MA 02215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235395773, enumerated as an "individual" on August 04, 2008.

The provider is located at 133 BROOKLINE AVE ADULT TELECOM BOSTON, MA 02215 and the phone number is (617) 421-1000.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.