Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shayne Bourque, PA-C

Individual provider Physician Assistant · NPI 1780399485

Mr. Shayne Bourque, PA-C is a Physician Assistant in Nashua, New Hampshire. Qualified in 2022, 4 years ago. Practices with Clearchoicemd, PLLC, a 93-clinician group. Licensed in New Hampshire.

Years since qualifying
4
Licensed in
NH
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Main St
Nashua, NH 03060-4635
Phone: (603) 333-1471
Fax: (603) 255-7286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2822 (NH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1780399485
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 17, 2023
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address10 Ferry St Ste 302, Concord, NH 03301-5081

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Clearchoicemd, Pllc — 93 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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