Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elliotte Schafer Bourne, PA-C

Individual provider Physician Assistant · NPI 1366155442

Elliotte Schafer Bourne, PA-C is a Physician Assistant in Rolla, Missouri. Qualified in 2023, 3 years ago. Practices with Phelps County Regional Medical Center, a 109-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1050 W 10th St
Rolla, MO 65401-2905
Phone: (573) 364-9000
Fax: (573) 426-2108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 364-9000
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899
  • 1000 Gw Ln, Waynesville, MO 65583-2339 — (573) 774-2715

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024005757 (MO)

Record details

NPI number1366155442
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Phelps County Regional Medical Center — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Rolla