Doctor profile · Federal record
Dr. Dolores van Bourgondien, ANP-BC
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Adult Health Nurse Practitioner · Grand Forks, ND
- NPI 1457788390
- Accepts Medicare
- 13 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3674 S Washington St
Grand Forks, ND 582015766
(701) 205-3000
fax (701) 732-2501 - Additional location
-
508 Upland St
Kenai, AK 996118026
(907) 335-7500 - Mailing address
-
Po Box 5210
Grand Forks, ND 582065210
Credentials & registration
- NPI registered
- October 2013 — 13 yrs on file
- Profile last updated
- January 27, 2026
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (2)
- North Dakota #R54243 · Florida #ARNP9239798
- Medicaid (2)
- AK #1695195 · FL #010140700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457788390. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
260
Distinct HCPCS
4
Medicare allowed
$28,321
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
80307 |
Testing for presence of drug, by chemistry analyzers | 106 | 24 | $60 | |
G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 81 | 21 | $195 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 45 | 28 | $120 | |
Q3014 |
Telehealth originating site facility fee | 28 | 19 | $28 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 171. This provider delivers 1.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
133
Patients
17
Total drug cost
$36,316
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) | Brand | 84 | 17 | $14,857 |
| Suboxone (Buprenorphine Hcl/Naloxone Hcl) | Brand | 30 | 0 | $15,749 |
| Zubsolv (Buprenorphine Hcl/Naloxone Hcl) | Brand | 19 | 0 | $5,709 |
Frequently asked questions
What is Dr. Dolores van Bourgondien's medical specialty?
Dr. Dolores van Bourgondien practices Psychiatric/Mental Health Nurse Practitioner in Grand Forks, ND.
Where does Dr. Dolores van Bourgondien practice?
Dr. Dolores van Bourgondien practices at 3674 S Washington St, Grand Forks, ND 582015766. Office phone: 7012053000.
What is Dr. Dolores van Bourgondien's NPI?
Dr. Dolores van Bourgondien's National Provider Identifier (NPI) is 1457788390, issued by NPPES.
Does Dr. Dolores van Bourgondien accept Medicare assignment?
Yes. Dr. Dolores van Bourgondien accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dolores van Bourgondien commonly perform?
Top Medicare-reported procedures in 2023: Testing for presence of drug, by chemistry analyzers (HCPCS 80307); Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS G0482); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.