Active NPI 1215744990 Individual Practitioner Male Practitioner

Ryan Bourgoine

Nurse Practitioner - Acute Care • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Ryan Bourgoine is a registered healthcare professional specializing in Nurse Practitioner - Acute Care in Albuquerque, NM. Practice services are available at 504 ELM ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

504 Elm St Ne

Albuquerque, NM 871022512

Telephone 5058411000

Associated Practice Facility / Clinic

🏢 Milagro Medical Group Pc Facility NPI 1548265713

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Albuquerque, NM

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.9 Yrs

State Avg: 9.9 Yrs

Regional Practice Density

136 Specialists

Practicing in Albuquerque, NM (214 Statewide)

Telehealth Adoption Rate

11.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-27

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License NM 90733

Definition to come...

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License NM RN80646

Definition to come...

Secondary Practice Locations

45211 Helm St

Plymouth, MI 481706023

Phone: 7345259712

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Brendan Cavanaugh , MD

Internal Medicine - Cardiovascular Disease

NPI 1013947639

Doctor of Medicine (M.D.)

Dr. Leah Mckinnon , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1023051513

Doctor of Medicine (M.D.)

Dr. Erik Funk , MD

Internal Medicine - Cardiovascular Disease

NPI 1043214398

Doctor of Medicine (M.D.)

Dr. Karen Sopko , MD

Internal Medicine - Cardiovascular Disease

NPI 1063551075

Doctor of Medicine (M.D.)

Celia Yazzie , APRN-CNP

Nurse Practitioner

NPI 1104213354

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Howard Zeman , MD

Internal Medicine - Cardiovascular Disease

NPI 1104820919

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 27, 2026

Registered at 504 ELM ST NE, ALBUQUERQUE, NM 871022512 (Tel: 5058411000)

📍

Updated Business Mailing Address July 27, 2026

Registered at 504 ELM ST NE, ALBUQUERQUE, NM 871022512 (Tel: 5058411000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Nurse Practitioner (License #90733 in NM)

✅

NPI Profile Active December 16, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2024

Registered at 45211 HELM ST, PLYMOUTH, MI 481706023 (Tel: 7345259712)

📍

Updated Business Mailing Address December 16, 2024

Registered at 45211 HELM ST, PLYMOUTH, MI 481706023 (Tel: 7345259712)

👤

Provider Name / Credentials Updated December 16, 2024

Recorded as RYAN BOURGOINE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2024

Registered Nurse (License #RN80646 in NM)

🟢

Initial NPI Registration & Enumeration December 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215744990

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 16, 2024

Last Update: July 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

504 Elm St Ne

Albuquerque, NM 871022512

Phone: 5058411000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.