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JESSICA BOURQUE MD, PHD
NPI 1962261594
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 18, 2024PECOS Enrolled
32 FRUIT ST, YAWKEY 4B, BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: March 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Bourque Md, Phd NPPES

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

JESSICA BOURQUE MD, PHD (NPI 1962261594) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962261594
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA BOURQUECredential: MD, PHD
Location Address32 FRUIT ST, YAWKEY 4BBoston, MA 02114
Mailing Address55 Fruit StBoston, MA 02114-2621
Phone(617) 726-2000
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateMarch 15, 2026
NPPES CertifiedMarch 15, 2026
✔ NPI 1962261594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
32 FRUIT ST, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Bourque Md, Phd 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.

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.

KARLEEN R HABIN RN
Registered Nurse (Oncology)
32 FRUIT ST, YAWKEY 9A ROOM 9746
BOSTON, MA 02114
Suffolk County (617) 726-1922
MARTHA SILVA MS, RD, LDN
Dietitian, Registered
32 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-1675
DR. REBECCA SUK HEIST MD MPH
Internal Medicine
32 FRUIT ST, YAWKEY 7B
BOSTON, MA 02114
Suffolk County (617) 724-4000
CHRISTINA L MACENSKI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
32 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 732-9764
MALAVIKALAKSHMI ATTUR MD
Internal Medicine
32 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
MS. LISA M. ARCIKOWSKI NP
Nurse Practitioner
32 FRUIT ST, HEMATOLOGY/ONCOLOGY
BOSTON, MA 02114
Suffolk County (617) 643-3517
MASSACHUSETTS GENERAL HOSPITAL
Clinic/Center (Medical Specialty)
32 FRUIT ST, YAWKEY 6800-6B
BOSTON, MA 02114
Suffolk County (617) 726-8705
ADITYA KUMAR SINGH PAWAR M.D.
Psychiatry & Neurology (Psychiatry)
32 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-6300

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 Jessica Bourque's NPI number?

The NPI number for Jessica Bourque is 1962261594. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Jessica Bourque located?

Jessica Bourque practices at 32 Fruit St Yawkey 4B, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Jessica Bourque's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Bourque enrolled in Medicare?

Yes. Jessica Bourque is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Bourque was last updated on March 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.