MRS. LISA ANN BOURQUIN FNP-APNP
NPI 1700308558
Nurse Practitioner - Family in Galena, IL

Q: What is Lisa Bourquin's NPI number?

The NPI number for Lisa Bourquin is 1700308558. It was assigned to this individual provider in the NPPES registry on July 13, 2017. The provider is also known as Ms. Lisa Ann Byro.

Q: What is Lisa Bourquin'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 Lisa Bourquin was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2017PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

1 MEDICAL CENTER DR, GALENA, IL 61036(815) 777-1340 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Jul 21, 2022, Jul 13, 2017 (3 updates tracked since 2017).

On this page

About Mrs. Lisa Ann Bourquin Fnp-apnp NPPES

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

MRS. LISA ANN BOURQUIN FNP-APNP (NPI 1700308558) is an individual family provider in Galena, Illinois, licensed in Wisconsin (77653-33) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700308558

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA ANN BOURQUINCredential: FNP-APNP

Location Address1 MEDICAL CENTER DRGalena, IL 61036-8118

Mailing Address800 Clay StDarlington, WI 53530-1228 · (608) 776-3614 · Fax (608) 776-2317

Phone(815) 777-1340

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 13, 2017

Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2024

✔ NPI 1700308558 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 WI · 77653-33

1 MEDICAL CENTER DR, Galena, IL 61036

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Other Names 1

Former Name (1)Ms. Lisa Ann Byro

Accepted Insurance

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

Mrs. Lisa Ann Bourquin Fnp-apnp 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 ID9739454620

PECOS Enrollment IDI20240506000790

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.

Hospital Affiliations CMS Care Compare

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

Midwest Medical Center

Critical Access Hospitals · Galena, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141302

Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61036 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

95.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

1 supplier11 claims11 services$112.82 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers16 claims16 services$21.35 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier16 claims76 services$2.76 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$21.29 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers16 claims16 services$119.54 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers22 claims22 services$6.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. MICHAEL J WELLS M.D.

Family Medicine