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

Mrs. Lori K Bourne, PA

Individual provider Medical Physician Assistant · NPI 1841449766

Mrs. Lori K Bourne, PA is a Physician Assistant in Merritt Island, Florida. Qualified in 1987, 39 years ago. Practices with Neuroscience Consultants LLP, a 110-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2008
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

1395 N Courtenay Pkwy Ste 106
Merritt Island, FL 32953-4474
Phone: (321) 452-1224
Fax: (321) 453-7784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Hickory St, Melbourne, FL 32901-3224 — (321) 434-1771

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2514 (FL)

Record details

NPI number1841449766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2008
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Neuroscience Consultants Llp — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Merritt Island