Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Bokermann, PA

Individual provider Physician Assistant · NPI 1679968135

Elizabeth Bokermann, PA is a Physician Assistant in Bridgeton, Missouri. Qualified in 2014, 12 years ago. Practices with Lawrence E. Samuels MD, Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12349 De Paul Dr Ste 100
Bridgeton, MO 63044-2512
Phone: (314) 291-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12266 Depaul Dr, Bridgeton, MO 63044 — (314) 291-7900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2015008953 (MO)

Record details

NPI number1679968135
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lawrence E. Samuels M.D., Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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