ERICA RENEE BOURBON (ANP-BC) – Adult Health Nurse Practitioner, NPI 1376810598

ERICA RENEE BOURBON (ANP-BC) is a healthcare provider. based in Livonia, Michigan. specializing in Adult Health Nurse Practitioner. They hold the professional credentials ANP-BC. They hold a License No. 77213 (KS). The NPI Number for ERICA RENEE BOURBON (ANP-BC) is 1376810598

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ERICA RENEE BOURBON (ANP-BC)
NPI
1376810598
Phone
(913) 660-1616
Address
36123 SCHOOLCRAFT RD
Enumeration Date
17 November 2011
Last Update Date
6 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166987000
Graduation Year
2011 (15 years ago)
PAC ID
4385819564
Group Practice PAC ID
9335329556
Professional Enrollment ID
I20111216000484
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for ERICA RENEE BOURBON (ANP-BC)

  • 36123 SCHOOLCRAFT RD

    LIVONIA, MI 481501216

    Phone: (913) 660-1616

    Type: Mailing

  • 17065 S. 71 HWY

    BELTON, MO 64012

    Phone: (816) 348-1200

    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: 2016-04-25

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
I20111216000484INurse PractitionerMOTBD
I20160425002077INurse PractitionerKSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes878238$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes381150$0
99239Hospital discharge day management, more than 30 minutes143136$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8782$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 48150)

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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: 9335329556View full group profile

Reviews

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Frequently asked questions

What is the registry number for ERICA RENEE BOURBON (ANP-BC)?
The registry entry for ERICA RENEE BOURBON (ANP-BC) shows NPI 1376810598.
Quick check: is ERICA RENEE BOURBON (ANP-BC) active?
Public NPPES data shows ERICA RENEE BOURBON (ANP-BC) with an active NPI status right now.
What does the directory say ERICA RENEE BOURBON (ANP-BC) does?
Insurance directories may phrase it differently, but here ERICA RENEE BOURBON (ANP-BC) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit ERICA RENEE BOURBON (ANP-BC) in Livonia, Michigan?
For routing, start with Livonia, Michigan for ERICA RENEE BOURBON (ANP-BC), then verify phone and hours locally.
Can I export ERICA RENEE BOURBON (ANP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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