Gloria G Bourque , ANP
Nurse Practitioner β’ Fairbanks, AK
1919 Lathrop St, Ste 220
Fairbanks, AK 99701
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
1919 Lathrop St
Ste 220
Fairbanks, AK 99701
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Open Payments general payments, program year 2021
All general payments: $82.00 across 3 records.
By nature of payment
- Food and Beverage: $82.00 across 3 records.
Reporting-company totals
- EMD Serono, Inc.: $82.00 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Fairbanks and Alaska
15 active clinicians are listed under Nurse Practitioner with a practice address in Fairbanks, AK (158 in Alaska).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fairbanks
20% of these 15 clinicians have the CMS telehealth indicator.
46.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2021 only.
Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2021 (payments made January 1 β December 31, 2021): fewer than 11 records totaling $82.00.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| EMD Serono, Inc. |
Food and Beverage
In-kind items and services
|
β | General | $29.89 |
| EMD Serono, Inc. |
Food and Beverage
In-kind items and services
|
β | General | $26.21 |
| EMD Serono, Inc. |
Food and Beverage
In-kind items and services
|
β | General | $25.90 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated March 23, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Fairbanks
- Katherine Cammack, PNP
- Caroline Hutto, CNM
- Nancy Schupp, ANP
- Melinda Turcotte, APRN
- Brittany Stepovich, ANP
- Sarah Pegouskie, APRN, FNP
Mailing Address
Po Box 73410
Fairbanks, AK 997073410
Phone: 8004784091