CHRISTOPHER BOURGET – Certified Registered Nurse Anesthetist, NPI 1275900656

CHRISTOPHER BOURGET is a healthcare provider. based in Salem, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 183149 (TN). The NPI Number for CHRISTOPHER BOURGET is 1275900656

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER BOURGET
NPI
1275900656
Phone
(618) 548-3194
Address
1201 Ricker Rd
Enumeration Date
1 September 2015
Last Update Date
1 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184368000
Graduation Year
2015 (11 years ago)
PAC ID
1355647934
Group Practice PAC ID
6709788920
Professional Enrollment ID
I20160308000978
Address ID
IL628013056CE400XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for CHRISTOPHER BOURGET

  • 1201 Ricker Rd

    Salem, IL 628814263

    Phone: (618) 548-3194

    Fax: (618) 740-0122

    Type: Location

  • 2 GOOD SAMARITAN WAY

    MEDICAL PLAZA SUITE 205

    MOUNT VERNON, IL 628642408

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160308000978ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20220203001780ICertified Registered Nurse Anesthetist (Crna)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 62881)

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Provider's Procedures

CHRISTOPHER BOURGET performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIL00142Anesthesia for lens surgery1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709788920View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Diagnostic RadiologyFL
Certified Registered Nurse Anesthetist (Crna)IL
Diagnostic RadiologyPA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MO
-IN
-IL
A N E S T H E S I O L O G YIL
Mental Health CounselorIL
Internal MedicineIL

Reviews

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Frequently asked questions

Can I verify CHRISTOPHER BOURGET with an NPI only?
You can start verification with NPI 1275900656 for CHRISTOPHER BOURGET, then check state licensing separately.
Is CHRISTOPHER BOURGET listed as active for patients and plans?
The listing shows CHRISTOPHER BOURGET as active in the NPI system.
What healthcare role does CHRISTOPHER BOURGET hold?
Scheduling teams often label CHRISTOPHER BOURGET under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTOPHER BOURGET on a map?
Expect Salem, Illinois as a primary anchor for CHRISTOPHER BOURGET unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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