Christopher Bourget, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mount Vernon, IL
NPI 1275900656 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1275900656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209013864 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Regional Health Center
Ambulatory Surgery Center of Centralia, LLC
Memorial Hospital
Anesthesia Associates of Southern Illinois Surgery Center LLC
St Marys Hospital Centralia Illinois
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
- Good Samaritan Regional HLTH Center
- Sparta Community Hospital
- Memorial Hospital
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308000978 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355647934 | Reassigns benefits to 10 organizations |
| I20220203001780 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355647934 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183149 | TN | MD | Critical Care Medicine Registered Nurse |
| 209013864 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| Ambulatory Surgery Center of Centralia, LLC | Current |
Accepting new patients | |
| Memorial Hospital | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Sparta Community Hospital | Current |
Accepting new patients | |
| Marion Anesthesia Company LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Good Samaritan Regional Health Center | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| Memorial Hospital | 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 | |
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | 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
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
2 Good Samaritan Way
Ste 205
Mount Vernon, IL 62864
Phone (618) 241-1108
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
2 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 899-4000
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sparta-7b261c4f
- ehr-direct@spartahospital.hin.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209013864 | IL | Yes |
| 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
818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-1337
Other practice location 2
1201 Ricker Rd
Salem, IL 62881-4263
Phone (618) 548-3194
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehr-direct@spartahospital.hin.us |
Other providers in Mount Vernon, IL
- Rhian Boling
- Crystal Lynn Bollman
- Christie Bond
- Cynthia Booher
- Borowiak Iga Foodliner Inc
- Bowman Chiropractic
- Emily Beth Boyd
- Nicole Michelle Boyd
- Brad McMillin, Inc
- Shirley A Braddy
All providers in Mount Vernon, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.