1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Nurse Practitioner
  6. NPI Profile

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: August 16, 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
Phone(617) 421-1000
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
Open in Google Maps ↗

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.

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.

MRS. MELISSA ASHLEY ZIOGAS APRN-FNP
Nurse Practitioner (Family)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1000
SHIVAUN ELAINE PIKE NP
Nurse Practitioner (Adult Health)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1000
HARRIET SCHEFT M.D.
Psychiatry & Neurology (Psychiatry)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-2040
CAROL J ZUCKERMAN M.D.
Internal Medicine
133 BROOKLINE AVE, INTERNAL MEDICINE
BOSTON, MA 02215
Suffolk County (617) 421-5804
HARVARD VANGUARD MEDICAL ASSOCIATES
Social Worker
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1000
DIANE L. GILWORTH NP
Registered Nurse
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-6050
MARGARET SIDOR PHD, CGC
Genetic Counselor, MS
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1035
NED WILSON MORSE
Technician/Technologist (Optician)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (174) 211-1496

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 Diane Bourque's NPI number?

The NPI number for Diane Bourque is 1235395773. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Diane Bourque located?

Diane Bourque practices at 133 Brookline Ave Adult Telecom, Boston, MA 02215. The listed phone number is (617) 421-1000.

What is Diane Bourque's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Diane Bourque enrolled in Medicare?

Yes. Diane Bourque is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Bourque was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.