Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366155442 Individual Practitioner Female Practitioner

Elliotte Schafer Bourne , PA-C

Physician Assistant • Rolla, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Elliotte Bourne, PA-C is a certified Physician Assistant practicing in Rolla, MO. With approximately 3 years of clinical experience since completing medical education in 2023, Elliotte Bourne delivers high-quality medical care to the local community at 1050 W 10TH ST.

Elliotte Bourne maintains professional affiliations with Pcrmc Medical Group Inc, Phelps County Regional Medical Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1050 W 10th St

Rolla, MO 654012905

Telephone 5733649000
Fax 5734262108
Associated Practice Facility / Clinic
🏢 Pcrmc Medical Group, Inc Facility NPI 1124237227

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rolla, MO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -6.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Rolla, MO (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bourne (3 Years) 3 Yrs
Rolla Specialty Average (9.7 Years) 9.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2024005757

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.

Hospital & Practice Group Affiliations

Pcrmc Medical Group Inc

1000 Gw Ln, Waynesville, MO 655832339

Phone: 5738424116

Pcrmc Medical Group Inc

1060 W 10th St, Rolla, MO 654012905

Phone: 8554063324

Pcrmc Medical Group Inc

1050 W 10th St, Rolla, MO 654012905

Phone: 5733649000

Phelps County Regional Medical Center

1050 W 10th St, Rolla, MO 654012905

Phone: 5733649000

Pcrmc Medical Group Inc

1000 W 10th St, Rolla, MO 654012905

Phone: 5733649000

Phelps County Regional Medical Center

1050 W 10th St, Rolla, MO 654012905

Phone: 5734588899

Phelps County Regional Medical Center

1000 W 10th St, Rolla, MO 654012905

Phone: 5734588899

Phelps County Regional Medical Center

1000 W 10th St, Rolla, MO 654012905

Phone: 5734588899

Secondary Practice Locations

1000 Gw Ln

Waynesville, MO 655832339

Phone: 5737742715

1000 W 10th St

Rolla, MO 654012905

Phone: 5733649000

1000 W 10th St

Rolla, MO 654012905

Phone: 5734588899

Practice Associates & Co-Workers

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

40 Associated Practitioners
Yam Sharma

Pediatrics

NPI 1003699885
NPI 1023087731

Doctor of Medicine (M.D.)

Dr. Alan Heincker , DO

Orthopaedic Surgery

NPI 1023304037

Doctor of Osteopathic Medicine (D.O.)

Dr. Kelsey Knobbe , MD

Obstetrics & Gynecology

NPI 1023682069

Doctor of Medicine (M.D.)

Dr. Mignon Makos , MD

Psychiatry & Neurology - Neurology

NPI 1043203748

Doctor of Medicine (M.D.)

Steven Ballard , ANP

Nurse Practitioner - Adult Health

NPI 1043454564

Adult Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 30, 2025

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

📍
Updated Business Mailing Address April 30, 2025

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2025

Physician Assistant (License #2024005757 in MO)

📍
Updated Practice Location February 20, 2024

Registered at 1000 GW LN, WAYNESVILLE, MO 655832339 (Tel: 5737742715)

📍
Updated Business Mailing Address February 20, 2024

Registered at 1000 GW LN, WAYNESVILLE, MO 655832339 (Tel: 5737742715)

👤
Provider Name / Credentials Updated February 20, 2024

Recorded as ELLIOTTE BOURNE, PA-C

NPI Profile Active January 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2023

Registered at 3437 CAROLINE ST, SAINT LOUIS, MO 631041111 (Tel: 3149778692)

📍
Updated Business Mailing Address January 03, 2023

Registered at 607 E 5TH ST, ROLLA, MO 654013416 (Tel: 5733089235)

👤
Provider Name / Credentials Updated January 03, 2023

Recorded as ELLIOTTE BOURNE, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366155442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2023
Last Update: May 21, 2026
Sole Proprietor: No

Mailing Address

1050 W 10th St

Rolla, MO 654012905

Phone: 5733649000

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.