IndividualActive
Nancy Bourgeois, NP-C
NPI 1881612349 · Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1881612349
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 079784 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12680 Olive Blvd
Suite 100
Saint Louis, MO 63141-6322
Phone: (314) 251-8900
Fax: (314) 251-8901
Street-level locationGet directions
Mailing address
12680 Olive Blvd
Saint Louis, MO 63141-6322
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2014-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.