MADISON BOURQUE FNP-C
NPI 1538965447
Nurse Practitioner - Family in Sulphur, LA
About Madison Bourque Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON BOURQUE FNP-C (NPI 1538965447) is an individual family provider in Sulphur, Louisiana, licensed in Louisiana (211170) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and maintains a secondary practice location in Iowa.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madison Bourque Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Madison Bourque reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sulphur, LA 70663
- Reassigned Medicare billing, Louisiana enrollment
- 96 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Louisiana enrollment
- 439 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, Louisiana enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Charles Memorial Hospital
Acute Care Hospitals · Lake Charles, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Madison Bourque's NPI number?
The NPI number for Madison Bourque is 1538965447. It was assigned to this individual provider in the NPPES registry on February 21, 2025.
Where is Madison Bourque located?
Madison Bourque practices at 600 Cypress St, Sulphur, LA 70663. The listed phone number is (337) 527-6371.
What is Madison Bourque's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Madison Bourque enrolled in Medicare?
Yes. Madison Bourque is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Madison Bourque's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Bourque reassigns Medicare benefits to 3 organizations: Calcasieu Cameron Emergency Physician Group LLC (Sulphur, LA), Signify Health, LLC (Dallas, TX) and Dl Howard MD Phd PLLC (Las Vegas, NV). 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 Madison Bourque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Madison Bourque affiliated with any hospitals?
According to CMS data, Madison Bourque is affiliated with Lake Charles Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Madison Bourque was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Madison Bourque, FNP-C · NPI 1538965447
Family physician in Sulphur, Louisiana. Individual provider, active in the CMS NPPES registry since February 21, 2025.
## Identity
- **NPI:** 1538965447 (Entity type: Individual)
- **Enumerated:** February 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 211170 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 CYPRESS ST, Sulphur, LA 70663-5052
- **Phone:** (337) 527-6371
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Calcasieu Cameron Emergency Physician Group LLC (NPI 1699167478, Sulphur, LA); Signify Health, LLC (NPI 1689158487, Dallas, TX); Dl Howard MD Phd PLLC (NPI 1972122596, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538965447) · Data from the CMS NPPES public registry.