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MS. CHRISTINE CAROLINE BOURGOIN FNP
NPI 1720365448
Nurse Practitioner - Family in Saint Petersburg, FL

Active since November 09, 2011PECOS Enrolled
6006 49TH ST N STE 120, SAINT PETERSBURG, FL 33709(727) 528-5739(727) 528-5855 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Christine Caroline Bourgoin Fnp NPPES

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

MS. CHRISTINE CAROLINE BOURGOIN FNP (NPI 1720365448) is an individual family provider in Saint Petersburg, Florida, licensed in Florida (9166500) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720365448
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CHRISTINE CAROLINE BOURGOINCredential: FNP
Location Address6006 49TH ST N STE 120Saint Petersburg, FL 33709-2149
Mailing Address6006 49th St N Ste 120Saint Petersburg, FL 33709-2149 · (727) 528-5739 · Fax (727) 528-5855
Phone(727) 528-5739
Fax(727) 528-5855
Sole ProprietorNo
Enumeration DateNovember 9, 2011
Last NPPES UpdateApril 27, 2021
NPPES CertifiedApril 27, 2021
✔ NPI 1720365448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9166500
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 0001180899 (VA)
6006 49TH ST N STE 120, Saint Petersburg, FL 33709
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Christine Caroline Bourgoin Fnp 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 Reassignment

Medicare enrollment records show Christine Bourgoin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
815 mi
Diagnostic Radiology
11335 PEMBROOKE SQ STE 101
Waldorf, MD 20603
  • Reassigned Medicare billing, Virginia enrollment
  • 2,379 clinicians in this Medicare group
NPI 1851829550 (301) 932-4522

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 33709 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

DR. MARIE T RICHFIELD MD
Internal Medicine
6006 49TH ST N STE 120
ST PETERSBURG, FL 33709
Pinellas County (727) 527-8788
MISS CARINA M BABA APRN-C, FNP
Nurse Practitioner (Family)
6006 49TH ST N STE 120
SAINT PETERSBURG, FL 33709
Pinellas County (727) 528-5739

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 Christine Bourgoin's NPI number?

The NPI number for Christine Bourgoin is 1720365448. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Where is Christine Bourgoin located?

Christine Bourgoin practices at 6006 49th St N Ste 120, Saint Petersburg, FL 33709. The listed phone number is (727) 528-5739.

What is Christine Bourgoin's specialty?

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

Is Christine Bourgoin enrolled in Medicare?

Yes. Christine Bourgoin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christine Bourgoin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Bourgoin reassigns Medicare benefits to Inova Health Care Services (Waldorf, MD). The 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 Christine Bourgoin'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 Christine Bourgoin was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.