Dolores I. Van Bourgondien, ANP-BC
NPI 1457788390ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Grand Forks, ND
Nurse Practitioner, Psych/Mental Health (ANP-BC) with Bristol Bay Area Health Corporation and 2 other groups, practicing in Grand Forks, North Dakota. Their prescriptions cost Medicare Part D more than their services did: $64,190 for 413 claims, against $10,094 paid for services in 2024. Lists Bristol Bay DBA Kanakanak Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1457788390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ANP-BC |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2013 |
| Last updated in NPPES | Jan 27, 2026 |
| Certified by provider | Jan 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | R54243 | ND |
| Nurse Practitioner, Adult Health | 363LA2200X | ARNP9239798 | FL |
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 (AK); Practitioner - Nurse Practitioner (ME); Practitioner - Nurse Practitioner (MN); Practitioner - Nurse Practitioner (MT); Practitioner - Nurse Practitioner (ND); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 189 across 12 procedure codes |
| Paid by Medicare | $10,094 |
Part D prescriptions in 2024
| Prescriptions (claims) | 413 · 460 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $64,190 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Bristol Bay Area Health CorporationDillingham, AK · 112 clinicians
- Peterson Medical Clinics LLCAnchorage, AK · 94 clinicians
- Kenaitze Indian TribeKenai, AK · 29 clinicians
Hospital affiliations
- Bristol Bay DBA Kanakanak HospitalDillingham, AK
- Sanford Medical Center FargoFargo, ND
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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All 44 psychiatric nurse practitioners in Grand Forks · All psychiatric nurse practitioners in North Dakota