Individual provider Active NPI

Christopher Bourget, CRNA

  • Certified Registered Nurse Anesthetist
  • Mount Vernon, IL
National Provider Identifier
1275900656
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209013864 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@spartahospital.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160308000978 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355647934 Reassigns benefits to 10 organizations
I20220203001780 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355647934

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
Ambulatory Surgery Center of Centralia, LLCGroup PAC ID 1254343007, 5 clinicians
Memorial HospitalGroup PAC ID 5294649372, 29 clinicians

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 100Reported as group
Quality
85.58
Promoting interoperability
100
Improvement activities
40
Cost
76.99

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
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

LicenseStateTypeSpecialty
183149TNMDRegistered Nurse
209013864ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Anesthesia Associates of Southern Illinois Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2017 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Jul 1, 2017 Accepting new patients
Ambulatory Surgery Center of Centralia, LLC CurrentSince Jun 21, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 4, 2017 Accepting new patients
Good Samaritan Regional Health Center CurrentSince May 4, 2025 Accepting new patients
Sparta Community Hospital CurrentSince Dec 6, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 4, 2017 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
Marion Anesthesia Company LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Sparta Community Hospital CurrentSince Dec 6, 2025 Accepting new patients
Ambulatory Surgery Center of Centralia, LLC CurrentSince Jun 21, 2025 Accepting new patients
Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 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

  • Direct secure messaging: ehr-direct@spartahospital.hin.us
  • FHIR API: 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.

View all 13

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.