Dianne Lynn Bourne, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP-03360 Issued in NM

Practice address

717 Encino PL NE Ste 26
Albuquerque, NM 87102-2629

Phone

(505) 884-4545

Fax

(505) 884-4114

NPI assigned

Aug 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

House Calls of New Mexico LLCGroup PAC ID 0345291191, 9 clinicians

Albuquerque- Amg Specialty Hospital, LLCGroup PAC ID 4385808229, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ambercare Home Health Home health agency, Belen, NM, CCN 327123
• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
• Albuquerque - Amg Specialty Hospital, LLC Long-term care hospital, Albuquerque, NM, CCN 322003

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Albuquerque Amg Specialty Hospital, LLC

  • Long Term Care Hospital
  • Albuquerque, NM
  • NPI 1518232842
  Medicare reassignment Care Compare group NPD
• House Calls of New Mexico LLC

  • Specialist
  • Albuquerque, NM
  • NPI 1194779322
  Medicare reassignment Care Compare group
• Cura Healthcare

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1649984667
  Medicare reassignment NPD

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

• Albuquerque Amg Specialty Hospital, LLC

  • Long Term Care Hospital
  • Albuquerque, NM
  • NPI 1518232842

  Long-term care hospital

  Care Compare affiliation
• Ambercare Home Health Care Corporation

  dba Ambercare Home Health

  • Home Health Agency
  • Belen, NM
  • NPI 1336117621
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Kaseman Psych Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629595160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE STE 26",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022629",
            "telephone_number": "505-884-4545",
            "fax_number": "505-884-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE STE 26",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022629",
            "telephone_number": "505-884-4545",
            "fax_number": "505-884-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "DIANNE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Lynn Bourgeois, RN
• Ryan Bourgoine
• Madison Bourgois
• Earl Douglas Bourgoyne, BSCPO
• Troy Bourguet
• Georgia Bourne, LMHC
• Caroline Bourneuf, FNP-C
• Lorilee Bourque, SLP
• Joseph Alfred Bousquet, MSW, PHD
• John William Boutz, D.D.S., M.S.

• Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.