LAUREN ANN BOURY (NP) – Acute Care Nurse Practitioner, NPI 1063929552

LAUREN ANN BOURY (NP) is a healthcare provider. based in Saint clair shores, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704286459 (MI). The NPI Number for LAUREN ANN BOURY (NP) is 1063929552

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN ANN BOURY (NP)
NPI
1063929552
Phone
(586) 214-8336
Address
31107 ANGELINE CT E
Enumeration Date
5 January 2018
Last Update Date
5 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5868846681
Graduation Year
2017 (9 years ago)
PAC ID
1456690395
Group Practice PAC ID
1153217278
Professional Enrollment ID
I20190311002569
Address ID
MI483153140SH50505RDXX308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for LAUREN ANN BOURY (NP)

  • 31107 ANGELINE CT E

    SAINT CLAIR SHORES, MI 480821441

    Phone: (586) 214-8336

    Type: Mailing

  • 20770, Greenfield Road, Oak Park, Oakland County, Michigan, 48237, United States

    OAK PARK, MI 482373018

    Phone: (248) 967-0026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Boston Scientific Corporation ($75).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-03-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190311002569INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes488185$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes249229$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes242118$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5643$0
View full utilization report →

Insurance plans in this area (ZIP 48082)

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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: 1153217278View full group profile
NameSpecialtyState
-IL
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationIL
Nurse PractitionerMI
Anesthesiology, Pain ManagementMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationIL
-MI
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

Does LAUREN ANN BOURY (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAUREN ANN BOURY (NP) uses 1063929552.
Is LAUREN ANN BOURY (NP) still practicing?
LAUREN ANN BOURY (NP) is currently listed as active in the public NPI registry.
What is LAUREN ANN BOURY (NP)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for LAUREN ANN BOURY (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for LAUREN ANN BOURY (NP)?
LAUREN ANN BOURY (NP)'s geographic hint is Saint Clair Shores, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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