CHRISTOPHER BOURGET CRNA
NPI 1275900656
Nurse Anesthetist, Certified Registered in Mount Vernon, IL

Q: What is Christopher Bourget's NPI number?

The NPI number for Christopher Bourget is 1275900656. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Q: What is Christopher Bourget's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment

2 GOOD SAMARITAN WAY, MEDICAL PLAZA SUITE 205, MOUNT VERNON, IL 62864(618) 241-1108 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Oct 1, 2020 (2 updates tracked since 2020).

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About Christopher Bourget Crna NPPES

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

CHRISTOPHER BOURGET CRNA (NPI 1275900656) is an individual nurse anesthetist, certified registered in Mount Vernon, Illinois, licensed in Illinois (209013864) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275900656

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCHRISTOPHER BOURGETCredential: CRNA

Location Address2 GOOD SAMARITAN WAY, MEDICAL PLAZA SUITE 205Mount Vernon, IL 62864-2408

Mailing Address2 Good Samaritan WayMount Vernon, IL 62864-2402

Phone(618) 241-1108

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 1, 2015

Last NPPES UpdateMay 29, 20262 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1275900656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 209013864

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 183149 (TN)

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 183149 (TN)

2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

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Secondary Practice Locations 2

Location 1818 E Broadway StSparta, IL 62286-1820 · Phone (618) 443-1337 · Fax (618) 443-1383

Location 21201 Ricker RdSalem, IL 62881-4263 · Phone (618) 548-3194 · Fax (618) 740-0122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christopher Bourget Crna 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 ID1355647934

PECOS Enrollment IDI20160308000978

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.

Medicare Billing Reassignments

Medicare enrollment records show Christopher Bourget reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates Of Southern Illinois Surgery Center LLC

0.2 mi

Anesthesiology

2 GOOD SAMARITAN WAY STE 200
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
41 clinicians in this Medicare group

NPI 1043757487 (618) 899-5703

Good Samaritan Regional Health Center

0.2 mi

Specialist

1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
284 clinicians in this Medicare group

NPI 1134457955 (618) 899-4600

St. Mary's Hospital, Centralia, Illinois

18 mi

Anesthesiology

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: St Marys Hospital Centralia Illinois
392 clinicians in this Medicare group

NPI 1477097871 (618) 436-6056

Ambulatory Surgery Center Of Centralia, LLC

19 mi

Clinic/Center

1045 MARTIN LUTHER KING DR
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
10 clinicians in this Medicare group

NPI 1265495824 (618) 532-3110

Marion Anesthesia Company LLC

38 mi

Nurse Anesthetist, Certified Registered

3003 CIVIC CIRCLE BLVD
Marion, IL 62959

Reassigned Medicare billing, Illinois enrollment
31 clinicians in this Medicare group

NPI 1790721579 (618) 993-1112

Sparta Community Hospital

43 mi

Critical Access

818 E BROADWAY ST
Sparta, IL 62286

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1801818240 (Illinois)
23 clinicians in this Medicare group

NPI 1548216476 (618) 443-2177

Sparta Community Hospital D/B/A Quality Healthcare Clinics

43 mi

Multi-Specialty

818 E. BROADWAY STREET
Sparta, IL 62286

Reassigned Medicare billing, Illinois enrollment
51 clinicians in this Medicare group

NPI 1114984226 (618) 443-1337

Memorial Hospital

54 mi

Critical Access

1900 STATE ST
Chester, IL 62233

Reassigned Medicare billing, Illinois enrollment
62 clinicians in this Medicare group

NPI 1851390132 (618) 826-4581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

27 services27 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

21 services21 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

19 services19 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Chester, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141338

Location1900 State StChester, IL 62233 · Randolph County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC

Psychiatry & Neurology (Sleep Medicine)

2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864

Jefferson County (618) 241-1869

JONATHAN L SORENSON CRNA

Nurse Anesthetist, Certified Registered

2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864

Jefferson County (618) 241-1108

DANIEL HOFFMAN MD

Internal Medicine

2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4000

DR. PRATEEK SRINET M.D.

Otolaryngology

2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4000

MR. STEVEN J CLARK MD

Surgery (Plastic and Reconstructive Surgery)

2 GOOD SAMARITAN WAY, SUITE 235
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3980

MRS. DEBBIE JANE BENDERSKY RPH

Pharmacist

2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4999

DR. ISMAT CHEEMA DO

Internal Medicine

2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3607

MARY K MCGARVEY COTA

Occupational Therapy Assistant

2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-2400

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 Christopher Bourget's NPI number?

The NPI number for Christopher Bourget is 1275900656. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Christopher Bourget located?

Christopher Bourget practices at 2 Good Samaritan Way Medical Plaza Suite 205, Mount Vernon, IL 62864. The listed phone number is (618) 241-1108.

What is Christopher Bourget's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Christopher Bourget enrolled in Medicare?

Yes. Christopher Bourget 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.

Which organizations bill Medicare for Christopher Bourget's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Bourget reassigns Medicare benefits to 8 organizations: Anesthesia Associates Of Southern Illinois Surgery Center LLC (Mount Vernon, IL), Good Samaritan Regional Health Center (Mount Vernon, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Ambulatory Surgery Center Of Centralia, LLC (Centralia, IL), Marion Anesthesia Company LLC (Marion, IL) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Bourget's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Christopher Bourget affiliated with any hospitals?

According to CMS data, Christopher Bourget is affiliated with Good Samaritan Regional Hlth Center, Memorial Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Christopher Bourget was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.