Lori Leigh Bougere, PMHNP-BC, FNP-C

Key facts

NPI: 1689059057
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: AP128399 (TX)
Practice address: 2750 S 8TH St
Beaumont, TX 77701-7719
Phone: (409) 839-2220
NPI assigned: Jul 27, 2015
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Spindletop MHMR Services Family Medicine Physician · Beaumont, TX · NPI 1952357550

Medicare reassignment Care Compare group NPD MULTI-SPECIALTY · TX
Spindletop MHMR Services Mental Health Counselor · Beaumont, TX · NPI 1467517656

NPD

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 1998
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Spindletop MHMR Services (19 clinicians)

Practice addresses (Care Compare)

4305 N Tejas Pkwy
Orange, TX 77632-1358
Phone (409) 883-7074

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160906002428	TX	Practitioner - Nurse Practitioner	2264728955	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
AP128399	TX	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Spindletop MHMR Services		Current since Jan 1, 2017	Accepting new patients
Spindletop MHMR Services	Multi-Specialty	Current since Jan 1, 2017	Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

4305 Tejas Pkwy
Orange, TX 77632
Phone (409) 839-3851

3401 57th St
Port Arthur, TX 77642
Phone (409) 813-8340

222 E Durdin Dr
Silsbee, TX 77656
Phone (409) 385-6039

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	AP128399	TX
Psychiatric/Mental Health Nurse Practitioner Group: 193200000X MULTI-SPECIALTY GROUP	363LP0808X	AP128399	TX	Yes

Addresses

Primary practice location

2750 S 8TH St
Beaumont, TX 77701-7719

Mailing address

2750 S. 8TH Street
Beaumont, TX 77701
Phone (409) 839-2220

Other providers in Beaumont, TX

All providers in Beaumont, TX · Psychiatric/Mental Health Nurse Practitioner in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.
Order and Referring (CMS).
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.

Verify at the official NPI Registry.