Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse W. Bourque Jr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1205920295

Jesse W. Bourque Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Worcester, Massachusetts. Qualified in 2006, 20 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

55 Lake Ave N Dept OF Anesthesiology
Worcester, MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN268734 (MA)

Record details

NPI number1205920295
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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