Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARISSA JEAN BOURNE RN
NPI 1639097686
Nurse Practitioner - Family in Scottsdale, AZ

Q: What is Karissa Bourne's NPI number?

The NPI number for Karissa Bourne is 1639097686. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Q: What is Karissa Bourne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Karissa Bourne was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since July 08, 2026PECOS Enrolled

14010 N NORTHSIGHT BLVD, SCOTTSDALE, AZ 85260(480) 443-0384(480) 443-0389 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Jul 8, 2026 (2 updates tracked since 2026).

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About Karissa Jean Bourne Rn NPPES

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

KARISSA JEAN BOURNE RN (NPI 1639097686) is an individual family provider in Scottsdale, Arizona, licensed in Arizona (345513) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639097686

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKARISSA JEAN BOURNECredential: RN

Location Address14010 N NORTHSIGHT BLVDScottsdale, AZ 85260-3601

Mailing Address14010 N Northsight BlvdScottsdale, AZ 85260-3601 · (480) 443-0384 · Fax (480) 443-0389

Phone(480) 443-0384

Fax(480) 443-0389

Sole ProprietorYes

Enumeration DateJuly 8, 2026

Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1639097686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 345513

14010 N NORTHSIGHT BLVD, Scottsdale, AZ 85260

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karissa Jean Bourne Rn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85260 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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