Beth Alyson Bourquin , CNP
Nurse Practitioner - Pediatrics β’ Dayton, OH
1 Childrens Plz
Dayton, OH 454041873
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
1 Childrens Plz
Dayton, OH 454041873
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 10 distinct additional practice-address records in Beavercreek, OH; Centerville, OH; Dayton, OH and 6 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2017
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.
Enrolled in Medicare (PECOS)
Beth Bourquin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Beth Bourquin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Dayton and Ohio
58 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Dayton, OH (1,092 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Dayton
0% of these 58 clinicians have the CMS telehealth indicator.
5.2% of these 58 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-05-28NUCC Taxonomy Code: 363LP0200X
NUCC Taxonomy Code: 363LP0222X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20191022003010
OH
2264791557
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
792 Northwoods Blvd
Vandalia, OH 453779462
Phone: 9376414236
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: 9376415725
6044 Wilmington Pike
Centerville, OH 454597006
Phone: 9376413270
860 Valley St.
Dayton, OH 45404
Phone: 9376413060
662 N Main St
Springboro, OH 450669553
Phone: 9376415066
4475 Far Hills Ave
Kettering, OH 454292405
Phone: 9376413141
3301 Dayton Xenia Rd Ste 200
Beavercreek, OH 454322759
Phone: 9376415098
7787 Cox Ln
West Chester, OH 450696549
Phone: 5136448081
8501 Old Troy Pike
Huber Heights, OH 454241054
Phone: 9376414360
1711 Germantown Pike
Dayton, OH 45417
Phone: 9376413142
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pediatrics - Pediatric Cardiology
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Pediatric Orthopaedic Surgery
Doctor of Medicine (M.D.)
Anesthesiology - Pediatric Anesthesiology
Doctor of Medicine (M.D.)
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist
Doctor of Medicine (M.D.)
Pediatrics - Pediatric Endocrinology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376415871)
NPI status registered as active in NPPES database
Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376415444)
Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376415871)
Recorded as BETH BOURQUIN, CNP
Nurse Practitioner (license number reported to NPPES: OH 021714)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioner - Pediatrics Specialists in Dayton
Healthcare providers in DaytonMailing Address
Po Box 933432
Cleveland, OH 441930039
Phone: 9376415072