Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith James Bourgeois, FNP-C

Individual provider Family Nurse Practitioner · NPI 1720502628

Keith James Bourgeois, FNP-C is a Nurse Practitioner in Augusta, Maine. Qualified in 2017, 9 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Maine and New Hampshire.

Years since qualifying
9
Licensed in
ME, NH
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1 VA Ctr
Augusta, ME 04330-6795
Phone: (207) 623-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 111595-23 (NH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP171069 (ME)

Record details

NPI number1720502628
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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