Individual provider Active NPI

Lisa Bourcier, NP

  • Nurse Practitioner
  • Hemlock, MI
National Provider Identifier
1578612867
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704147440 Issued in MI
Practice address
16440 Gratiot Rd
Hemlock, MI 48626-8655
Phone
(989) 583-0660
Fax
(989) 583-0669
NPI assigned
Jan 9, 2007
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704147440 MI Primary

Addresses

Primary practice location

16440 Gratiot Rd
Hemlock, MI 48626-8655

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040429001017 MI Practitioner - Nurse Practitioner 2264429364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

2919 E Wilder Rd
Bay City, MI 48706-9299

2919 Wilder Rd
Bay City, MI 48706-9299

7340 Midland Rd
Freeland, MI 48623-8402
Phone (989) 695-8014

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704147440MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Mar 6, 2010 Accepting new patients
Covenant Medical Center, Inc CurrentSince Mar 6, 2010 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

2919 Wilder Rd
Bay City, MI 48706
Phone (989) 583-0180

2919 Wilder Rd
Ste 150
Bay City, MI 48706
Phone (989) 671-5775

7362 Midland Rd
Freeland, MI 48623
Phone (989) 692-7000

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

12675 E Washington Rd
Reese, MI 48757
Phone (517) 868-4144

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

2429 Trautner Dr
Saginaw, MI 48604
Phone (989) 790-3697

2970 Pierce Rd
Ste 2
Saginaw, MI 48604
Phone (989) 583-0295

835 Midland Rd
Saginaw, MI 48638
Phone (989) 792-1375

Interoperability endpoints

  • Direct secure messaging: lhohensee1437@direct.covenanthealthcare.com

Organizations & group practices 3

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.

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1578612867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16440 GRATIOT RD",
            "city": "HEMLOCK",
            "state": "MI",
            "postal_code": "486268655",
            "telephone_number": "989-583-0660",
            "fax_number": "989-583-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURCIER",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704147440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemlock, MI

Sources for this page

Verify at the official NPI Registry.