MRS. CHRISTINE MARIE BOURGEOIS (CPNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366658213
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CHRISTINE MARIE BOURGEOIS (CPNP, PMHNP-BC)
7 ALFRED ST STE 100
WOBURN, MA 018011900
Phone: (781) 569-6022
Type: Location
500, West Cummings Park, Walnut Hill, Woburn, Middlesex County, Massachusetts, 01801, United States
SUITE 3900
WOBURN, MA 018016503
Phone: (781) 932-8114
Type: Location
20, Curtis Street, Riverview, Waltham, Middlesex County, Massachusetts, 02453, United States
WALTHAM, MA 02453
Phone: (781) 330-2265
Type: Mailing
15 QUAIL RUN
ANDOVER, MA 018104249
Phone: (781) 330-2265
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $317.
Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($127).
Total Amount
$317
General + Research + Ownership
Payments
7
Total payment records
General Amount
$317
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $127 |
| Neurocrine BioSciences, Inc. | $111 |
| Indivior Inc. | $25 |
| ITI, Inc. | $22 |
| Teva Pharmaceuticals USA, Inc. | $18 |
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: 2012-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121116000063 | I | Nurse Practitioner | MA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| - | MA | |
| - | MA | |
| - | RI | |
| Clinical Social Worker | MA | |
| Mental Health Counselor | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | RI |
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