Active NPI 1841787785 Individual Practitioner Female Practitioner

Emily R Bourguignon , PA-C

Physician Assistant • Green Bay, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Emily Bourguignon, PA-C is a certified Physician Assistant practicing in Green Bay, WI. With approximately 8 years of clinical experience since completing medical education in 2018, Emily Bourguignon delivers high-quality medical care to the local community at 3263 EATON RD.

Emily Bourguignon is affiliated with Bellin Memorial Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with tracing, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3263 Eaton Rd

Green Bay, WI 543116830

Telephone 9204336000

Fax 9204336009

Associated Practice Facility / Clinic

🏢 Bel-Regional Home Medical Inc Facility NPI 1760628655

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Green Bay, WI

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -3.2 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

183 Specialists

Practicing in Green Bay, WI (3517 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bourguignon (8 Years) 8 Yrs

Green Bay Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	73	$235.38	$71.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	47	$333.84	$101.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	73	$317.42	$99.61
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$220.67	$72.09
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$29.00	$5.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	64	$212.15	$72.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	52	$308.56	$102.57
36415 Insertion of needle into vein for collection of blood sample	19	19	$9.00	$2.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$414.25	$146.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	93	$286.68	$106.42
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$194.00	$75.20
36415 Insertion of needle into vein for collection of blood sample	30	30	$9.83	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$443.00	$137.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	73	$286.82	$86.59
36415 Insertion of needle into vein for collection of blood sample	34	34	$9.47	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$196.55	$60.58
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$27.91	$7.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	118	114	$891.23	$138.37
99284 Emergency department visit with moderate level of medical decision making	88	87	$613.50	$93.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	49	48	$592.61	$90.96
99285 Emergency department visit for life threatening or functioning severity	30	30	$882.00	$128.42

Medical Specialties & State Licenses

CMS Verified: 2020-01-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 4440

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID National Commission On Certified Physicians Assistants

1151531

Hospital & Practice Group Affiliations

Bellin Memorial Hospital Inc

3263 Eaton Rd, Green Bay, WI 543116830

Phone: 9204336700

Bellin Memorial Hospital Inc

3263 Eaton Rd, Green Bay, WI 543116830

Phone: 9204336000

Bellin Memorial Hospital Inc

2020 S Webster Ave, Green Bay, WI 543013505

Bellin Memorial Hospital Inc

1630 Commanche Ave, Green Bay, WI 543135753

Phone: 9204336000

Bellin Memorial Hospital Inc

744 S Webster Ave, Green Bay, WI 543013505

Bellin Memorial Hospital Inc

1630 Commanche Ave, Green Bay, WI 543135753

Phone: 9204304700

Secondary Practice Locations

5000 Memorial Dr

Two Rivers, WI 542413900

Phone: 9207945000

2845 Greenbrier Rd

Green Bay, WI 543116519

Phone: 9202888000

1630 Commanche Ave

Green Bay, WI 543135753

Phone: 9204336000

855 N Westhaven Dr

Oshkosh, WI 54904

Phone: 9204566000

2820 Roosevelt Rd

Marinette, WI 541433834

Phone: 7157355225

Practice Associates & Co-Workers

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

15 Associated Practitioners

Bethany Piotrowski

Physician Assistant

NPI 1013161058

Neesha Davies , APNP

Nurse Practitioner - Family

NPI 1033539838

Advanced Practice Nurse Prescriber

Tracey Befay , PA

Physician Assistant

NPI 1053395913

Physician Assistant

Dr. David Edwards , MD

Family Medicine

NPI 1053404871

Doctor of Medicine (M.D.)

Katelynn Pieschek , PA-C

Physician Assistant

NPI 1093183071

Physician Assistant (Certified)

Taresa Fassbender , PA

Physician Assistant

NPI 1093942047

Physician Assistant

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location January 08, 2020

Registered at 3263 EATON RD, GREEN BAY, WI 543116830 (Tel: 9204336000)

📍

Updated Business Mailing Address January 08, 2020

Registered at PO BOX 22487, GREEN BAY, WI 543052487 (Tel: 9204457222)

📍

Updated Practice Location August 06, 2018

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 54904 (Tel: 9204566000)

📍

Updated Business Mailing Address August 06, 2018

Registered at 164 N BROADWAY, GREEN BAY, WI 543032728 (Tel: 9204909046)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2018

Physician Assistant (License #4440 in WI)

✅

NPI Profile Active April 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2018

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9204566000)

📍

Updated Business Mailing Address April 17, 2018

Registered at 420 RIDGEWAY BLVD, DE PERE, WI 541152642

👤

Provider Name / Credentials Updated April 17, 2018

Recorded as EMILY BOURGUIGNON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2018

Physician Assistant

🟢

Initial NPI Registration & Enumeration April 17, 2018

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: 1841787785

Entity Type:

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

Enumeration Date: April 17, 2018

Last Update: January 16, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22487

Green Bay, WI 543052487

Phone: 9204457222

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.