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

Lauren Bourdeau

Individual provider Registered Nurse · NPI 1164793659

Lauren Bourdeau is a Nurse Practitioner in West Nyack, New York. Qualified in 2024, 2 years ago. Practices with Medical Director Services PC, a 81-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2012
Specialties on file
3

Practice location Address checks out

20 W St
West Nyack, NY 10994-1920
Phone: (845) 405-3080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 356166 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 649745 (NY)
Oncology Registered Nurse Taxonomy 163WX0200X · Licence 689033 (NY)

Record details

NPI number1164793659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2012
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address20 West St, West Nyack, NY 10994-1920

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Director Services Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Nyack