MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1154850402

MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) is a healthcare provider. based in Boston, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN, CRNA. They hold a License No. RN2283549 (MA). The NPI Number for MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) is 1154850402

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MARC PATRICK BAKER-BOURGEOIS (RN, CRNA)
NPI
1154850402
Phone
(617) 636-5000
Address
800 Washington St
Enumeration Date
9 June 2017
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037888888
Graduation Year
2019 (7 years ago)
PAC ID
8820324999
Group Practice PAC ID
2062302508
Professional Enrollment ID
I20240702000617
Address ID
CO801093888CA3911XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for MARC PATRICK BAKER-BOURGEOIS (RN, CRNA)

  • 800 Washington St

    Boston, MA 021111552

    Phone: (617) 636-5000

    Type: Location

  • LAHEY PROVIDER ENROLLMENT DEPARTMENT

    41 MALL ROAD

    BURLINGTON, MA 01805

    Phone: (781) 744-8085

    Fax: (781) 744-5433

    Type: Mailing

  • Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States

    41 MALL ROAD

    BURLINGTON, MA 01805

    Phone: (781) 744-8085

    Fax: (781) 744-5433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-02

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
I20190726001171ICertified Registered Nurse Anesthetist (Crna)MATBD
I20240702000617ICertified Registered Nurse Anesthetist (Crna)COTBD

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
00142Anesthesia for lens surgery142141$0
00811Anesthesia for other procedure on large bowel using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
00140Anesthesia for other procedure on eye1615$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 2062302508View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YCO
Gastroenterology, Internal MedicineCO
G A S T R O E N T E R O L O G YCO
G A S T R O E N T E R O L O G YCO
-CO
G A S T R O E N T E R O L O G YNY
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO
Registered Dietitian Or Nutrition ProfessionalCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARC PATRICK BAKER-BOURGEOIS (RN, CRNA)?
MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) — NPI 1154850402 — is the standard way to identify this listing.
Is MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) listed as active for patients and plans?
The listing shows MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) as active in the NPI system.
What is MARC PATRICK BAKER-BOURGEOIS (RN, CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) here. Clinical services aligned with this taxonomy classification.
Where is MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) based?
MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does MARC PATRICK BAKER-BOURGEOIS (RN, CRNA) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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