MICAYLA BOURETTE CNP
NPI 1770247306
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since October 29, 2021PECOS EnrolledAccepts Medicare Assignment
12 QUEEN ST, WORCESTER, MA 01610(508) 860-1260 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Micayla Bourette Cnp NPPES

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

MICAYLA BOURETTE CNP (NPI 1770247306) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2335159) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770247306
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICAYLA BOURETTECredential: CNP
Location Address12 QUEEN STWorcester, MA 01610-2411
Mailing Address12 Queen StWorcester, MA 01610-2411 · (774) 312-2468
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 29, 2021
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1770247306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2335159
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2335159 (MA)
12 QUEEN ST, Worcester, MA 01610

Accepted 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

Micayla Bourette Cnp 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 ID7810377009
PECOS Enrollment IDI20220706001059
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 2

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.
239 services61 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01610 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Social Worker (Clinical)
12 QUEEN ST
WORCESTER, MA 01610
Social Worker (Clinical)
12 QUEEN ST
WORCESTER, MA 01610
Counselor (Mental Health)
12 QUEEN ST
WORCESTER, MA 01610
Registered Nurse (Ambulatory Care)
12 QUEEN ST
WORCESTER, MA 01610
Occupational Therapist (Mental Health)
12 QUEEN ST
WORCESTER, MA 01610
Social Worker
12 QUEEN ST
WORCESTER, MA 01610
Nurse Practitioner (Psychiatric/Mental Health)
12 QUEEN ST
WORCESTER, MA 01610
Nurse Practitioner (Family)
12 QUEEN ST
WORCESTER, MA 01610

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 Micayla Bourette's NPI number?

The NPI number for Micayla Bourette is 1770247306. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Micayla Bourette located?

Micayla Bourette practices at 12 Queen St, Worcester, MA 01610. The listed phone number is (508) 860-1260.

What is Micayla Bourette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Micayla Bourette enrolled in Medicare?

Yes. Micayla Bourette 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 Micayla Bourette accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Micayla Bourette 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 Micayla Bourette was last updated on January 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.