CLAIRE ANN BOURNE NP
NPI 1437512563
Nurse Practitioner - Adult Health in Rochester, NY

Active since April 05, 2016PECOS Enrolled
98.59/100
CMS Quality Rating
601 ELMWOOD AVE., ROCHESTER, NY 14642(585) 276-6401(585) 273-1058 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2018, Oct 11, 2016 (2 updates tracked since 2016).

About Claire Ann Bourne Np NPPES

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

CLAIRE ANN BOURNE NP (NPI 1437512563) is an individual adult health provider in Rochester, New York, licensed in New York (307304) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437512563
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCLAIRE ANN BOURNECredential: NP
Location Address601 ELMWOOD AVE.Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box MedRochester, NY 14642-0001 · (585) 276-6401 · Fax (585) 273-1058
Fax(585) 273-1058
Sole ProprietorNo
Enumeration DateApril 5, 2016
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
✔ NPI 1437512563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 307304
601 ELMWOOD AVE., Rochester, NY 14642

Other Names 1

Former Name (1)Claire Reidy

Other Identifiers 1

Medicaid04385264NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claire Ann Bourne 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Claire Bourne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
Specialist
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 113 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

98.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.95
Promoting Interoperability100
Improvement Activities40
Cost76.03

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.

Anesthesiology
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Internal Medicine
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Physician Assistant (Medical)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Physician Assistant
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Nurse Anesthetist, Certified Registered
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Pediatrics (Pediatric Gastroenterology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Psychiatry & Neurology (Psychiatry)
601 ELMWOOD AVE., BOX PSYCH
ROCHESTER, NY 14642

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 Claire Bourne's NPI number?

The NPI number for Claire Bourne is 1437512563. It was assigned to this individual provider in the NPPES registry on April 5, 2016. The provider is also known as Claire Reidy.

Where is Claire Bourne located?

Claire Bourne practices at 601 Elmwood Ave., Rochester, NY 14642. The listed phone number is (585) 276-6401.

What is Claire Bourne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Claire Bourne enrolled in Medicare?

Yes. Claire Bourne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Claire Bourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Bourne reassigns Medicare benefits to 2 organizations: Internal Medicine Group (Rochester, NY) and University Orthopaedic Associates Of Rochester (Rochester, NY). 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 Claire Bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Claire Bourne was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.