Doctor profile · Federal record
Dr. Elliotte Bourne, PA-C
Physician Assistant · Rolla, MO
- NPI 1366155442
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1050 W 10Th St
Rolla, MO 654012905
(573) 364-9000
fax (573) 426-2108 - Additional location
-
1000 Gw Ln
Waynesville, MO 655832339
(573) 774-2715
fax (573) 202-2410 - Additional location
-
1000 W 10Th St
Rolla, MO 654012905
(573) 458-8899
fax (573) 341-5611
Credentials & registration
- NPI registered
- January 2023 — 3 yrs on file
- Profile last updated
- April 30, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Missouri #2024005757
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366155442. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$84
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 4 | $69.78 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $14.04 |
By nature of payment
Frequently asked questions
What is Dr. Elliotte Bourne's medical specialty?
Dr. Elliotte Bourne practices Physician Assistant in Rolla, MO.
Where does Dr. Elliotte Bourne practice?
Dr. Elliotte Bourne practices at 1050 W 10Th St, Rolla, MO 654012905. Office phone: 5733649000.
What is Dr. Elliotte Bourne's NPI?
Dr. Elliotte Bourne's National Provider Identifier (NPI) is 1366155442, issued by NPPES.
Does Dr. Elliotte Bourne accept Medicare assignment?
Yes. Dr. Elliotte Bourne accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.