STACY L BOURGEOIS CRNA
NPI 1619025533
Nurse Anesthetist, Certified Registered in Houston, TX

Active since January 08, 2007Accepts Medicare Assignment
2411 FOUNTAIN VIEW DR, HOUSTON, TX 77057(713) 620-4000 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacy L Bourgeois Crna NPPES

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

STACY L BOURGEOIS CRNA (NPI 1619025533) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Texas (649012) and active in the NPI registry since January 2007. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1619025533
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTACY L BOURGEOISCredential: CRNA
Location Address2411 FOUNTAIN VIEW DRHouston, TX 77057-4832
Mailing Address2411 Fountain View Dr Ste 200Houston, TX 77057-4832 · (713) 620-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 30, 2015
✔ NPI 1619025533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in TX · 649012✔ Licensed in CA · NA3122
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.
2411 FOUNTAIN VIEW DR, Houston, TX 77057

Other Identifiers 5

Medicaid185860701TX
Medicare PIN8J5993TX
Medicare UPINASSIGNED
Other86993UTX · Blue Cross Blue Shield
OtherP00396099TX · Medicare Railroad

Accepted Insurance

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

Stacy L Bourgeois 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 ID9436171089
PECOS Enrollment IDI20070717000116

Medicare Billing Reassignments

5

Medicare enrollment records show Stacy Bourgeois reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
3030 S GESSNER RD STE 150
Houston, TX 77063
  • Reassigned Medicare billing, Texas enrollment
  • 67 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
5115 MAIN ST STE 1000
Houston, TX 77002
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Specialized Crna Services LLC
  • 17 clinicians in this Medicare group
Anesthesiology
1015 MEDICAL CENTER BLVD, STE. 1500
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
Anesthesiology
333 N TEXAS AVE
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 403 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Texas enrollment
  • 195 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 77057 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Anesthesiology
2411 FOUNTAIN VIEW DR
HOUSTON, TX 77057
Nurse Anesthetist, Certified Registered
2411 FOUNTAIN VIEW DR, SUITE 200
HOUSTON, TX 77057
Anesthesiology
2411 FOUNTAIN VIEW DR, SUITE 200
HOUSTON, TX 77057
Anesthesiology
2411 FOUNTAIN VIEW DR, SUITE 200
HOUSTON, TX 77057
Anesthesiology
2411 FOUNTAIN VIEW DR, STE. 200
HOUSTON, TX 77057
Anesthesiology
2411 FOUNTAIN VIEW DR, STE. 200
HOUSTON, TX 77057
Nurse Anesthetist, Certified Registered
2411 FOUNTAIN VIEW DR, SUITE 200
HOUSTON, TX 77057
Anesthesiology
2411 FOUNTAIN VIEW DR, SUITE 200
HOUSTON, TX 77057

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 Stacy Bourgeois's NPI number?

The NPI number for Stacy Bourgeois is 1619025533. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Stacy Bourgeois located?

Stacy Bourgeois practices at 2411 Fountain View Dr, Houston, TX 77057. The listed phone number is (713) 620-4000.

What is Stacy Bourgeois's specialty?

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

Is Stacy Bourgeois enrolled in Medicare?

Yes. Stacy Bourgeois 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 Stacy Bourgeois's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Bourgeois reassigns Medicare benefits to 5 organizations: Lone Star Anesthesia Associates, PLLC (Houston, TX), Specialized Crna Services L.L.C. (Houston, TX), Bahec LLC (Webster, TX), Compass Anesthesia Providers PLLC (Webster, TX) and Anesthesia Dynamics LLC (Bradenton, FL). 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 Stacy Bourgeois's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Bourgeois accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Stacy Bourgeois 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 Stacy Bourgeois was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.