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

Mrs. Lisa Ann Bourquin, FNP-APNP

Individual provider Family Nurse Practitioner · NPI 1700308558

Mrs. Lisa Ann Bourquin, FNP-APNP is a Nurse Practitioner in Galena, Illinois. Qualified in 2017, 9 years ago. Practices with Midwest Medical Center, a 36-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017

Practice location Address checks out

1 Medical Center Dr
Galena, IL 61036-8118
Phone: (815) 777-1340
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 77653-33 (WI)

Record details

NPI number1700308558
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-APNP
Sole proprietorNo
NPI enumeratedJuly 13, 2017
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

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 Midwest Medical Center — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Galena