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Rebecca Lynn Bourbon, P.A.-C

NPI 1003973231ActiveIndividual· Physician Assistant· Rio Rancho, NM

Physician Assistant (P.A.-C) in Rio Rancho, New Mexico, licensed in NM, with an NPI issued in January 2007. Their prescriptions cost Medicare Part D more than their services did: $122,632 for 1,825 claims, against $2,496 paid for services in 2024.

Overview

NPI1003973231
StatusActive
Entity typeIndividual
CredentialP.A.-C
Sole proprietorNo
NPI issuedJan 3, 2007
Last updated in NPPESSep 10, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X92-PA09NM
Physician Assistant, Medical363AM0700X92-PA09NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NM)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients33
Services billed79 across 6 procedure codes
Paid by Medicare$2,496

Part D prescriptions in 2024

Prescriptions (claims)1,825 · 3,753 30-day fills
Patients148
Total drug cost$122,632
Generic share88% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Rio Rancho

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