MELANIE R BOURKE (APRN, PMHNP) – Registered Nurse, NPI 1588051213
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MELANIE R BOURKE (APRN, PMHNP)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162527
Phone: (952) 993-3123
Fax: (952) 993-3286
Type: Mailing
8285 W ARBY AVE STE 200
LAS VEGAS, NV 891132236
Phone: (725) 212-4523
Fax: (725) 212-4524
Type: Mailing
975 SE SANDY BLVD STE 230
PORTLAND, OR 972141399
Phone: (503) 379-1902
Fax: (503) 334-1617
Type: Location
3218 N BOOTH ST
MILWAUKEE, WI 532122136
Phone: (763) 670-4887
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $252.
Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($192).
Total Amount
$252
General + Research + Ownership
Payments
9
Total payment records
General Amount
$252
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $192 |
| Janssen Scientific Affairs, LLC | $61 |
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: 2024-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170812000397 | I | Nurse Practitioner | MN | TBD |
| I20231221003756 | I | Nurse Practitioner | OR | TBD |
| I20240402004229 | I | Nurse Practitioner | WA | 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 55416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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