1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Nurse Practitioner
  6. NPI Profile

KRISTEN BOURGON MSN, AGPCNP-BC
NPI 1851838809
Nurse Practitioner - Family in Southfield, MI

Active since January 30, 2017PECOS Enrolled
21650 W 11 MILE RD STE 202, SOUTHFIELD, MI 48076(248) 327-6196(248) 327-6356 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2021, Mar 2, 2021, Jan 30, 2017 (3 updates tracked since 2017).

About Kristen Bourgon Msn, Agpcnp-bc NPPES

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

KRISTEN BOURGON MSN, AGPCNP-BC (NPI 1851838809) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704277091) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1851838809
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN BOURGONCredential: MSN, AGPCNP-BC
Location Address21650 W 11 MILE RD STE 202Southfield, MI 48076-3777
Mailing Address20075 Northville Place DrNorthville, MI 48167-2984 · (248) 672-2271
Phone(248) 327-6196
Fax(248) 327-6356
Sole ProprietorYes
Enumeration DateJanuary 30, 2017
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1851838809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704277091
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704277091 (MI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704277091 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704277091 (MI)
21650 W 11 MILE RD STE 202, Southfield, MI 48076
Open in Google Maps ↗

Secondary Practice Location 1

Location 1236 Constitution StCanton, MI 48188-6719 · Phone (248) 672-2271

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Bourgon Msn, Agpcnp-bc 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 Reassignments

3

Medicare enrollment records show Kristen Bourgon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greenfield And 9 Mile Medical Center PLLC
4.1 mi
Family Medicine
20820 GREENFIELD RD
Oak Park, MI 48237
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
NPI 1265874945 (248) 557-3303
Integrated Visiting Physician Solutions PC
9.9 mi
Multi-Specialty
18000 W 9 MILE RD, STE 525
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
NPI 1891109641 (248) 327-6196
Traveling Physician Services PC
9.9 mi
Internal Medicine
18000 W 9 MILE RD STE 525
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1366337826 (248) 327-6196

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 48076 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier11 claims11 services$9.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

FELIXA SUPIT NP
Nurse Practitioner (Family)
21650 W 11 MILE RD STE 202
SOUTHFIELD, MI 48076
Oakland County (248) 327-6196
MRS. DEANGELLA SIMPSON NP-C
Nurse Practitioner (Family)
21650 W 11 MILE RD STE 202
SOUTHFIELD, MI 48076
Oakland County (248) 327-6196

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 Kristen Bourgon's NPI number?

The NPI number for Kristen Bourgon is 1851838809. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Kristen Bourgon located?

Kristen Bourgon practices at 21650 W 11 Mile Rd Ste 202, Southfield, MI 48076. The listed phone number is (248) 327-6196.

What is Kristen Bourgon's specialty?

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

Is Kristen Bourgon enrolled in Medicare?

Yes. Kristen Bourgon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristen Bourgon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Bourgon reassigns Medicare benefits to 3 organizations: Greenfield And 9 Mile Medical Center PLLC (Oak Park, MI), Integrated Visiting Physician Solutions PC (Southfield, MI) and Traveling Physician Services PC (Southfield, MI). Each 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 Kristen Bourgon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Bourgon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kristen Bourgon 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 Kristen Bourgon was last updated on March 9, 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.