CLAUDIANUS H BOURNE FNP
NPI 1851646541
Nurse Practitioner - Family in Loudonville, NY

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
65.44/100
CMS Quality Rating
407 ALBANY SHAKER RD STE 100, LOUDONVILLE, NY 12211(518) 435-1300(518) 435-1397 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Mar 17, 2017 (2 updates tracked since 2017).

About Claudianus H Bourne Fnp NPPES

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

CLAUDIANUS H BOURNE FNP (NPI 1851646541) is an individual family provider in Loudonville, New York, licensed in New York (F337303) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1851646541
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLAUDIANUS H BOURNECredential: FNP
Location Address407 ALBANY SHAKER RD STE 100Loudonville, NY 12211-1962
Mailing AddressPo Box 1081Troy, NY 12181-1081 · (518) 791-9607
Fax(518) 435-1397
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 18, 2012
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1851646541 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 NY · F337303
407 ALBANY SHAKER RD STE 100, Loudonville, NY 12211

Other Identifiers 1

Medicaid02995513NY

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

Claudianus H Bourne Fnp 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 ID7810111515
PECOS Enrollment IDI20140620000114
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 5

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services53 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.
23 services20 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12211 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Other Providers at the Same Location NPPES 5

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

Physician Assistant
407 ALBANY SHAKER RD STE 100
LOUDONVILLE, NY 12211
Internal Medicine
407 ALBANY SHAKER RD STE 100
LOUDONVILLE, NY 12211
Internal Medicine
407 ALBANY SHAKER RD STE 100
LOUDONVILLE, NY 12211
Physician Assistant (Medical)
407 ALBANY SHAKER RD STE 100
LOUDONVILLE, NY 12211
Physician Assistant (Medical)
407 ALBANY SHAKER RD STE 100
ALBANY, NY 12211

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 Claudianus Bourne's NPI number?

The NPI number for Claudianus Bourne is 1851646541. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Claudianus Bourne located?

Claudianus Bourne practices at 407 Albany Shaker Rd Ste 100, Loudonville, NY 12211. The listed phone number is (518) 435-1300.

What is Claudianus Bourne's specialty?

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

Is Claudianus Bourne enrolled in Medicare?

Yes. Claudianus Bourne 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.

Is Claudianus Bourne affiliated with any hospitals?

According to CMS data, Claudianus Bourne is affiliated with Albany Medical Center Hospital and St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Claudianus Bourne was last updated on July 29, 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.