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MARISSA BOURNIQUE
NPI 1417332131
Internal Medicine - Gastroenterology in Port St Lucie, FL

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1700 SE HILLMOOR DR, PORT ST LUCIE, FL 34952(772) 335-9600 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Bournique NPPES

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

MARISSA BOURNIQUE (NPI 1417332131) is an individual gastroenterology provider in Port St Lucie, Florida, licensed in Florida (OS15441) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2015).

NPPES Registry Identity

NPI1417332131
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMARISSA BOURNIQUE
Location Address1700 SE HILLMOOR DRPort St Lucie, FL 34952-7539
Mailing Address1700 Se Hillmoor DrPort St Lucie, FL 34952-7539 · (772) 335-9600
Phone(772) 335-9600
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2015
Enumeration DateJuly 23, 2015
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1417332131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · OS15441
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License UO4447 (FL)
1700 SE HILLMOOR DR, Port St Lucie, FL 34952
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa Bournique 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 ID8325440290
PECOS Enrollment IDI20210714003373, I20260427003395
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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services19 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. JEFFREY J LAZARUS M.D.
Orthopaedic Surgery
1700 SE HILLMOOR DR, SUITE 500
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-3200
MARY JILL REICHERT
Nurse Practitioner
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-9600
DR. PABLO H TIRADO MD
Family Medicine
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-9600
ABBY REGAN
Emergency Medicine
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-3623
HEART AND FAMILY HEALTH INSTITUTE OF PORT ST LUCIE
Clinic/Center (Multi-Specialty)
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-9600
DR. SIVA P BELLAM M.D
Internal Medicine (Hematology & Oncology)
1700 SE HILLMOOR DR, STE 306
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-6016
DR. WILLIAM WINSTON LEONARD PETERSON III D.C.
Chiropractor
1700 SE HILLMOOR DR, STE 502
PORT ST LUCIE, FL 34952
St. Lucie County (772) 333-2648
DR. SABRINA ZANTO DO
Internal Medicine (Cardiovascular Disease)
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-9600

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 Marissa Bournique's NPI number?

The NPI number for Marissa Bournique is 1417332131. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Marissa Bournique located?

Marissa Bournique practices at 1700 SE Hillmoor Dr, Port St Lucie, FL 34952. The listed phone number is (772) 335-9600.

What is Marissa Bournique's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marissa Bournique enrolled in Medicare?

Yes. Marissa Bournique 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.

What insurance does Marissa Bournique accept?

Health plans from AvMed list Marissa Bournique 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.

Is Marissa Bournique affiliated with any hospitals?

According to CMS data, Marissa Bournique is affiliated with Bethesda Hospital Inc, Lee Memorial Hospital, Tallahassee Memorial Healthcare and Gulf Coast Medical Center Lee Health.

When was this NPI record last updated?

The NPPES record for Marissa Bournique was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.