Beth Alyson Bourquin, CNP
NPI 1144732579ActiveIndividual· Nurse Practitioner, Pediatrics· Dayton, OH
Nurse Practitioner, Pediatrics (CNP) in Dayton, Ohio, licensed in OH, with an NPI issued in October 2017. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1144732579 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2017 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | APRN.CNP.021714 | OH |
| Nurse Practitioner, Pediatrics, Critical Care | 363LP0222X | 021714 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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