Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588603443 Individual Practitioner Female Practitioner

Keri L Bourdage , PA-C

Physician Assistant • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Keri Bourdage, PA-C is a registered healthcare professional specializing in Physician Assistant in Gainesville, FL. Practice services are available at 6420 W NEWBERRY RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6420 W Newberry Rd Ste 100

Gainesville, FL 326056622

Telephone 3523323900
Fax 3523325009
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
439 Specialists

Practicing in Gainesville, FL (10376 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9103318

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
292626100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Jennifer Bhatia , ARNP

Nurse Practitioner

NPI 1013905397

Advanced Registered Nurse Practitioner

Carla Blouin , LCSW

Social Worker - Clinical

NPI 1023300852

Licensed Clinical Social Worker

Dr. Victoria Brown , MD

Internal Medicine - Hematology & Oncology

NPI 1093152316

Doctor of Medicine (M.D.)

Sousan Black , APRN

Nurse Practitioner - Family

NPI 1144632217

Advanced Practice Registered Nurse

Susan Thorsen , APRN

Nurse Practitioner - Adult Health

NPI 1154646735

Advanced Practice Registered Nurse

Jessica Smith , APRN

Nurse Practitioner - Family

NPI 1215707187

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 12, 2026

Registered at 6420 W NEWBERRY RD STE 100, GAINESVILLE, FL 326056622 (Tel: 3523323900)

📍
Updated Business Mailing Address January 12, 2026

Registered at PO BOX 102222, ATLANTA, GA 303682222 (Tel: 2392748200)

👤
Provider Name / Credentials Updated January 12, 2026

Recorded as KERI BOURDAGE, PA-C

NPI Profile Active May 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2011

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3523923000)

📍
Updated Business Mailing Address May 12, 2011

Registered at PO BOX 918025, ORLANDO, FL 328918025

👤
Provider Name / Credentials Updated May 12, 2011

Recorded as KERI BOURDAGE, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2011

Physician Assistant (License #PA9103318 in FL)

🟢
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588603443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: March 04, 2026
Sole Proprietor: No

Mailing Address

Po Box 102222

Atlanta, GA 303682222

Phone: 2392748200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.