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KEITH JAMES BOURGEOIS FNP-C
NPI 1720502628
Nurse Practitioner - Family in Augusta, ME

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 15, 2026, Feb 11, 2025, Sep 26, 2024 and 1 more (4 updates tracked since 2017).

About Keith James Bourgeois Fnp-c NPPES

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

KEITH JAMES BOURGEOIS FNP-C (NPI 1720502628) is an individual family provider in Augusta, Maine, licensed in New Hampshire (111595-23) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720502628
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEITH JAMES BOURGEOISCredential: FNP-C
Location Address1 VA CTRAugusta, ME 04330-6795
Mailing Address1 Va CenterAugusta, ME 04330 · (207) 623-8411
Phone(207) 623-8411
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2017
Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1720502628 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
Licenses✔ Licensed in NH · 111595-23✔ Licensed in ME · CNP171069
1 VA CTR, Augusta, ME 04330
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Keith James Bourgeois Fnp-c 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 ID3173798386
PECOS Enrollment IDI20171201000093
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

MS. EVELYN ROSE DAWSON
Registered Nurse (Medical-Surgical)
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
JOSHUA PENNEY
Physical Therapist
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (603) 630-0648
DR. RACHEL ANN MAYER PHARMD
Pharmacist
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
WILLIAM KENNETH WANG
Pharmacist
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
DR. JAMES P SMITH OD
Optometrist
1 VA CTR, TOGUS VAMC EYE CLINIC
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
MS. DONNA MARIE GALLANT LCSW
Social Worker (Clinical)
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
DEPT. OF VETERANS AFFAIRS
General Acute Care Hospital
1 VA CTR, RADIOLOGY, VA TOGUS
AUGUSTA, ME 04330
Kennebec County (207) 623-8411
BRIAN P MILLS MD
Anesthesiology (Addiction Medicine)
1 VA CTR
AUGUSTA, ME 04330
Kennebec County (207) 623-8411

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 Keith Bourgeois's NPI number?

The NPI number for Keith Bourgeois is 1720502628. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Keith Bourgeois located?

Keith Bourgeois practices at 1 VA Ctr, Augusta, ME 04330. The listed phone number is (207) 623-8411.

What is Keith Bourgeois's specialty?

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

Is Keith Bourgeois enrolled in Medicare?

Yes. Keith 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.

What insurance does Keith Bourgeois accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Keith 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.

Is Keith Bourgeois affiliated with any hospitals?

According to CMS data, Keith Bourgeois is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Keith Bourgeois was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.