Individual provider Active NPI

Marc Patrick Baker-Bourgeois, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Burlington, MA
National Provider Identifier
1154850402
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN2283549 Issued in MA
Practice address
Lahey Hospital and Medical Center
41 Mall Road
Burlington, MA 01805
Phone
(781) 744-8085
Fax
(781) 744-5433
NPI assigned
Jun 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN2283549 MA Primary

Addresses

Primary practice location

Lahey Hospital and Medical Center
41 Mall Road
Burlington, MA 01805

Mailing address

Lahey Provider Enrollment Department
41 Mall Road
Burlington, MA 01805
Phone (781) 744-8085

Other practice location 1

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Other practice location 2

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Other names 1

  • Marc Patrick Bourgeois Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190726001171 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820324999 Reassigns benefits to 3 organizations
I20240702000617 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820324999 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Anesthesia Services PCGroup PAC ID 7517947146, 112 clinicians
South Denver Gastroenterology, P.CGroup PAC ID 2062302508, 54 clinicians

Practice addresses (Care Compare)

12911 W 40TH Ave
Golden, CO 80401-2696
Phone (303) 425-4500

3911 Ambrosia St
Suite 201
Castle Rock, CO 80109-3888
Phone (303) 788-8888

Hospital & facility affiliations

  • Uchealth Highlands Ranch Hospital Hospital, Highlands Ranch, CO, CCN 060132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2283549MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Aug 1, 2024 Accepting new patients
Novamed Surgery Center of Denver LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2024 Accepting new patients
Lahey Clinic, Inc CurrentSince Jul 22, 2019 Accepting new patients
The General Hospital Corporation CurrentSince Apr 1, 2021 Accepting new patients
Peak Gastroenterology Associates CurrentSince Aug 3, 2024 Accepting new patients
South Denver Gastroenterology, PC CurrentSince Oct 21, 2024 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2024 Accepting new patients
Prowers County Hospital District CurrentSince Dec 1, 2024 Accepting new patients
South Denver Gastroenterology, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Apr 1, 2021 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2024 Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients

Locations

3000 S Jamaica Ct
Ste 140
Aurora, CO 80014
Phone 3037553201 ext. 14

3000 S Jamaica Ct
Aurora, CO 80014
Phone (720) 206-9644

3911 Ambrosia St
Ste 201
Castle Rock, CO 80109
Phone (303) 788-8888

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

6031 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 635-7321

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 1
Colorado Springs, CO 80907

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

3535 S Lafayette St
Ste 200
Englewood, CO 80113
Phone (303) 761-5555

13772 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 279-2600

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

9101 Kimmer Dr
Ste 1000
Lone Tree, CO 80124
Phone (720) 639-8946

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

866755 Reliable Pkwy
Chicago, IL 60686

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

Interoperability endpoints

  • Direct secure messaging: marc.baker.1@3461.direct.athenahealth.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1154850402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAHEY PROVIDER ENROLLMENT DEPARTMENT",
            "address_2": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-8085",
            "fax_number": "781-744-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAHEY HOSPITAL AND MEDICAL CENTER",
            "address_2": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-8085",
            "fax_number": "781-744-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "617-636-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "617-636-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER-BOURGEOIS",
        "first_name": "MARC",
        "middle_name": "PATRICK",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2283549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "BOURGEOIS",
            "middle_name": "PATRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.