Kimberly Bousema, PA
Kimberly Bousema, PA is a Physician Assistant in Rensselaer, Indiana. Qualified in 2024, 2 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 2
- Licensed in
- IN
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1103 E Grace StRensselaer, IN 47978-3251
Phone: (219) 866-0411
Fax: (219) 866-1920
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 309 E 2nd St, Pomona, CA 91766-1854 — (909) 306-8660
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10004742A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1629819826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2024 |
| Last updated in NPPES | March 7, 2025 |
| Certification date | March 7, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Franciscan Physician Network — 1171 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |