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DR. STEPHANIE LYNN BOURQUE M.D.
NPI 1366731556
Pediatrics - Neonatal-Perinatal Medicine in Aurora, CO

Active since March 29, 2011PECOS Enrolled
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephanie Lynn Bourque M.d. NPPES

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

DR. STEPHANIE LYNN BOURQUE M.D. (NPI 1366731556) is an individual neonatal-perinatal medicine provider in Aurora, Colorado, licensed in Colorado (52646) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366731556
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. STEPHANIE LYNN BOURQUECredential: M.D.
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing Address13123 E 16th AveAurora, CO 80045-7106 · (720) 777-1234
Phone(720) 777-1234
Sole ProprietorNo
Enumeration DateMarch 29, 2011
Last NPPES UpdateSeptember 17, 2018
✔ NPI 1366731556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CO · 52646
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 52646 (CO)
13123 E 16TH AVE, Aurora, CO 80045
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Other Identifiers 1

Medicaid35550864CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Lynn Bourque M.d. 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.

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.

ERIN TERAVEST PA
Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MELISSA KAY FRAZER AA-C
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
RACHEL MARIE RANWEILER
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. KATHRYN LYN PEGAN AU.D.
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Adams County (720) 777-1961
MRS. KRISTEN L HOLDER FNP-C, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. JILL M MARKS RN, APN
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. WENDELYN M BARRETT NNP
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. TIMOTHY OWEN VANDERKOOY MD
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045
Adams County (720) 777-1234

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 Stephanie Bourque's NPI number?

The NPI number for Stephanie Bourque is 1366731556. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Stephanie Bourque located?

Stephanie Bourque practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Stephanie Bourque's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Stephanie Bourque enrolled in Medicare?

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

What insurance does Stephanie Bourque accept?

Health plans from Medica list Stephanie Bourque as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Bourque was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.