Individual provider Active NPI

Ashley Bourgois Labanca, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bismarck, ND
National Provider Identifier
1053807917
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404120 Issued in NY
Practice address
712 N Mandan St
Bismarck, ND 58501-3615
Phone
(888) 454-3827
Fax
(833) 938-1401
NPI assigned
Jul 3, 2018
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R37952 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404120 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0038181 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G189797 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 84476 KS

Addresses

Primary practice location

712 N Mandan St
Bismarck, ND 58501-3615

Mailing address

712 N Mandan St
Bismarck, ND 58501-3615
Phone (701) 527-5605

Other practice location 1

8101 College Blvd
Overland Park, KS 66210-1978
Phone (917) 634-5311

Other practice location 2

109 W 27th St
New York, NY 10001-0265
Phone (917) 634-5311

Other practice location 3

6500 University Ave
Des Moines, IA 50324-1607
Phone (917) 634-5311

Other practice location 4

1 W Winter St
Delaware, OH 43015-4634
Phone (917) 634-5311

Other names 1

  • Ashley Bourgois Fischer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KS, OH, IA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220701000965 NY Practitioner - Nurse Practitioner 3072861517 Reassigns benefits to 1 organization
I20250829001158 KS Practitioner - Nurse Practitioner 3072861517 Reassigns benefits to 1 organization
I20250905003000 OH Practitioner - Nurse Practitioner 3072861517 Reassigns benefits to 1 organization
I20260421001889 IA Practitioner - Nurse Practitioner 3072861517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians
MCCD KS Psychiatry Services PAGroup PAC ID 4385094598, 4 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

8101 College Blvd
Suite 100
Overland Park, KS 66210-2671
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
G189797IAMDPsychiatric/Mental Health Nurse Practitioner
84476KSMDPsychiatric/Mental Health Nurse Practitioner
F404120NYMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0038181OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Jun 9, 2025 Accepting new patients
MCCD KS Psychiatry Services PA CurrentSince Jun 23, 2025 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jun 23, 2025 Accepting new patients
MCCD NJ Psychiatry Services PLLC PastSince Jan 1, 2022 Accepting new patients

Locations

6500 University Ave
Ste 100
Des Moines, IA 50324
Phone (515) 279-1959

8101 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 227-9605

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 368-5493

1 W Winter St
Ste 200
Delaware, OH 43015
Phone (513) 828-0285

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1053807917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N MANDAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013615",
            "telephone_number": "701-527-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N MANDAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013615",
            "telephone_number": "888-454-3827",
            "fax_number": "833-938-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101978",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100010265",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503241607",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 W Winter St",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430154634",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABANCA",
        "first_name": "ASHLEY",
        "middle_name": "BOURGOIS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R37952",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404120",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038181",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G189797",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "84476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "FISCHER",
            "middle_name": "BOURGOIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.