Active NPI
Christopher Bourget, CRNA
- Certified Registered Nurse Anesthetist
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209013864
- Practice address
- 2 Good Samaritan Way
Medical Plaza Suite 205
Mount Vernon, IL 62864-2408 - Phone
- (618) 241-1108
- NPI assigned
- Sep 1, 2015
- Last updated
- May 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209013864 | IL | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 183149 | TN | |
| Registered Nurse | 163W00000X | 183149 | TN |
Addresses
Primary practice location
2 Good Samaritan Way
Medical Plaza Suite 205
Mount Vernon, IL 62864-2408
Mailing address
2 Good Samaritan Way
Mount Vernon, IL 62864-2402
Other practice location 1
1201 Ricker Rd
Salem, IL 62881-4263
Phone (618) 548-3194
Other practice location 2
818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-1337
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehr-direct@spartahospital.hin.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
1045 M L King Dr
Centralia, IL 62801-3001
Phone (618) 532-3110
1900 State St
Chester, IL 62233-1116
Phone (618) 826-4581
2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.77 of 100
- Quality
- 85.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183149 | TN | MD | Registered Nurse |
| 209013864 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current | Accepting new patients | |
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Current | Accepting new patients | |
| Ambulatory Surgery Center of Centralia, LLC | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| Sparta Community Hospital | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Marion Anesthesia Company LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sparta Community Hospital | Current | Accepting new patients | |
| Ambulatory Surgery Center of Centralia, LLC | Current | Accepting new patients | |
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1045 Martin Luther King Dr
Centralia, IL 62801
Phone (618) 242-3979
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
1900 State St
Chester, IL 62233
Phone (618) 826-2388
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
3003 Civic Circle Blvd
Marion, IL 62959
Phone (618) 993-1112
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 899-4000
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
2 Good Samaritan Way
Ste 205
Mount Vernon, IL 62864
Phone (618) 241-1108
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-1108
207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
Interoperability endpoints
- ehr-direct@spartahospital.hin.us
- https://fhir-usa.unify.chbase.com/org/sparta-7b261c4f
Organizations & group practices 13
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.
-
dba The Surgery Center of Centralia
- Clinic/Center
- Centralia, IL
- NPI 1265495824
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1043757487
Nurse Anesthetist, Certified Registered
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
Nurse Anesthetist, Certified Registered
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Certified Registered Nurse Anesthetist
- Marion, IL
- NPI 1790721579
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Sparta, IL
- NPI 1548216476
-
- Medicare Defined Swing Bed Hospital Unit
- Sparta, IL
- NPI 1801818240
-
- Multi-Specialty Clinic/Center
- Sparta, IL
- NPI 1114984226
-
dba Surgery Center of Centralia
- Ambulatory Surgical Clinic/Center
- Centralia, IL
- NPI 1811957251
-
- Institutional Pharmacy
- Chester, IL
- NPI 1023603289
-
dba SSM Health St. Mary's Hospital - Centralia
- Anesthesiology Physician
- Centralia, IL
- NPI 1477097871
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
- Critical Access Hospital
- Sparta, IL
- NPI 1548216476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1275900656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GOOD SAMARITAN WAY",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GOOD SAMARITAN WAY",
"address_2": "MEDICAL PLAZA SUITE 205",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642408",
"telephone_number": "618-241-1108"
}
],
"practiceLocations": [
{
"address_1": "1201 Ricker Rd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "IL",
"postal_code": "628814263",
"country_code": "US",
"telephone_number": "618-548-3194",
"fax_number": "618-740-0122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "818 E Broadway St",
"address_purpose": "LOCATION",
"city": "Sparta",
"state": "IL",
"postal_code": "622861820",
"country_code": "US",
"telephone_number": "618-443-1337",
"fax_number": "618-443-1383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOURGET",
"first_name": "CHRISTOPHER",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209013864",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TN",
"license": "183149",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "183149",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehr-direct@spartahospital.hin.us",
"affiliation": "N",
"address_1": "818 E Broadway St",
"city": "Sparta",
"state": "IL",
"country_code": "US",
"postal_code": "622861820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.