EMILY R BOURGUIGNON PA-C
NPI 1841787785
Physician Assistant in Green Bay, WI

Q: What is Emily Bourguignon's NPI number?

The NPI number for Emily Bourguignon is 1841787785. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Q: What is Emily Bourguignon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Bourguignon was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 17, 2018PECOS EnrolledAccepts Medicare Assignment

3263 EATON RD, GREEN BAY, WI 54311(920) 433-6000(920) 433-6009 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2020, Jan 8, 2020, Aug 6, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Emily R Bourguignon Pa-c NPPES

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

EMILY R BOURGUIGNON PA-C (NPI 1841787785) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (4440) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1841787785

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMILY R BOURGUIGNONCredential: PA-C

Location Address3263 EATON RDGreen Bay, WI 54311-6830

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 433-6000

Fax(920) 433-6009

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 17, 2018

Last NPPES UpdateJanuary 16, 20204 updates tracked since enumeration

✔ NPI 1841787785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 4440

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3263 EATON RD, Green Bay, WI 54311

Open in Google Maps ↗

Secondary Practice Locations 5

Location 15000 Memorial DrTwo Rivers, WI 54241-3900 · Phone (920) 794-5000

Location 22845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (920) 288-8000

Location 31630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 433-6000 · Fax (920) 433-6009

Location 4855 N Westhaven DrOshkosh, WI 54904 · Phone (920) 456-6000

Location 52820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388

Other Identifiers 1

Other1151531National Commission On Certified Physicians Assistants

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners.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

Emily R Bourguignon Pa-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 ID3779830393

PECOS Enrollment IDI20180727000149

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 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.

78 services73 patients

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.

49 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

DR. RACHAEL E. VANDEN LANGENBERG D.O.

Family Medicine