MR. PAUL A GOBOURNE CRNP NPI 1245417492

NPI Information

  • NPI: 1245417492
  • Provider Name: MR. PAUL A GOBOURNE, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8901 WISCONSIN AVE
    BLDG. 8 RM 3169C
    BETHESDA, MD
    ZIP 20889
  • Phone: (301) 400-1012

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NPI Details

MR. Paul A Gobourne, CRNP is a family nurse practitioner in Bethesda, MD with 22 years of experience. MR. Paul A Gobourne, CRNP NPI is 1245417492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8901 WISCONSIN AVE
BLDG. 8 RM 3169C
BETHESDA, MD
ZIP 20889-600
Phone: (301) 400-1012
Fax: (301) 295-8963

The NPI 1245417492 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from wound, each additional 20.0 sq cm (HCPCS:97598)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 1/29/2008 and was last updated on 3/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN965066DISTRICT OF COLUMBIANo
2363LF0000XNurse PractitionerFamilyR132556MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q14873MEDICARE UPIN
2G01934F01MEDICARE PINDISTRICT OF COLUMBIA
3035904300MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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