JON-PAUL BOURGELAIS
NPI 1972396331
Physician Assistant in New York, NY

Q: What is Jon-paul Bourgelais's NPI number?

The NPI number for Jon-paul Bourgelais is 1972396331. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Q: What is Jon-paul Bourgelais's specialty?

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

Active since May 27, 2025PECOS Enrolled

100 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jon-paul Bourgelais NPPES

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

JON-PAUL BOURGELAIS (NPI 1972396331) is an individual physician assistant in New York, New York and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972396331

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJON-PAUL BOURGELAIS

Location Address100 E 77TH STNew York, NY 10075-1850

Mailing Address100 E 77th StNew York, NY 10075-1850 · (212) 434-2000

Phone(212) 434-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 27, 2025

NPPES CertifiedMay 27, 2025

✔ NPI 1972396331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

100 E 77TH ST, New York, NY 10075

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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)

Jon-paul Bourgelais is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769975028

PECOS Enrollment IDI20251204002055

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

MRS. CATHERINE WILLIAMS HALL NURSE PRACTITIONER

Nurse Practitioner (Neonatal, Critical Care)