Claudianus H Bourne, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F337303 Issued in NY

Practice address

407 Albany Shaker Rd Ste 100
Loudonville, NY 12211-1962

Phone

(518) 435-1300

Fax

(518) 435-1397

NPI assigned

Jul 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oldendorf Medical Services PLLC 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
• St Peter'S Hospital Hospital, Albany, NY, CCN 330057

Merit-based Incentive Payment System (MIPS)

Final score

68.51 of 100Reported as group

Quality

56.19

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbourne@oldendorfmedical.medentdirect.com

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.

• Oldendorf Medical Services, PLLC

  • Internal Medicine Physician
  • Loudonville, NY
  • NPI 1518107069

  NY

  Medicare reassignment Care Compare group NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166

  NY

  Medicare reassignment NPD
• Schenectady Family Health Services, Inc.

  • Family Medicine Physician
  • Schenectady, NY
  • NPI 1396711982

  NY

  Medicare reassignment NPD
• Saratoga Hospital

  • Primary Care Clinic/Center
  • Ballston Spa, NY
  • NPI 1386067601
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1629415740
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga SPGS, NY
  • NPI 1881924322
  NPD
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1457024218
  NPD

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

• Home Aide Service of Eastern New York, Inc.

  • Home Health Agency
  • Troy, NY
  • NPI 1114967924
  Care Compare affiliation
• St. Peter'S Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1497701106

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1851646541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121811081",
            "telephone_number": "518-791-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ALBANY SHAKER RD STE 100",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111962",
            "telephone_number": "518-435-1300",
            "fax_number": "518-435-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "CLAUDIANUS",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sailaja Alapati, MD
• Albany Advanced Dental Care
• Albany Shaker Dental
• Ashok Baghel, MD
• Antonio Boncordo, DMD
• Brandy Lawrence Licensed Massage Therapist, PLLC
• John Buddenhagen, DO
• Michelle Elizabeth Cafaro, RPA-C
• Capital Anesthesia, PLLC.
• Roberta Katz Carmody, M.S.CCC/SLP

• All providers in Loudonville, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.