Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992129142 Individual Practitioner Female Practitioner

Kimberly Brooke Rivera Bourke , PA-C

Physician Assistant • Elizabethtown, PA

Professional Overview & Biography Verified Profile Summary

Kimberly Bourke, PA-C is a registered healthcare professional specializing in Physician Assistant in Elizabethtown, PA. Practice services are available at 530 E CEDAR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 E Cedar St

Elizabethtown, PA 170222516

Telephone 7175881059
Fax 7176891246

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elizabethtown, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Elizabethtown, PA (8068 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

Medical Specialties & State Licenses

CMS Verified: 2026-02-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA057178

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Mary Gergis , PA

Physician Assistant - Medical

NPI 1164758371

Physician Assistant

Natalie Luciano

Nurse Practitioner - Family

NPI 1568018448

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 24, 2026

Registered at 530 E CEDAR ST, ELIZABETHTOWN, PA 170222516 (Tel: 7175881059)

📍
Updated Business Mailing Address February 24, 2026

Registered at 530 E CEDAR ST, ELIZABETHTOWN, PA 170222516 (Tel: 7175881059)

📍
Updated Practice Location October 12, 2020

Registered at 100 N QUEEN ST, STE 200, LANCASTER, PA 176033550 (Tel: 7175447500)

📍
Updated Business Mailing Address October 12, 2020

Registered at 100 N QUEEN ST, STE 200, LANCASTER, PA 176033550 (Tel: 7175447500)

👤
Provider Name / Credentials Updated October 12, 2020

Recorded as KIMBERLY BOURKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2020

Physician Assistant (License #MA057178 in PA)

NPI Profile Active April 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2014

Registered at 301 SAINT PAUL PL, ORTHOPEDIC & JOINT REPLACEMENT, BALTIMORE, MD 212022102 (Tel: 4105392227)

📍
Updated Business Mailing Address April 03, 2014

Registered at 301 SAINT PAUL PL, MEDICAL STAFF OFFICE, BALTIMORE, MD 212022102

👤
Provider Name / Credentials Updated April 03, 2014

Recorded as KIMBERLY RIVERA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2014

Physician Assistant (License #C05320 in MD)

🟢
Initial NPI Registration & Enumeration February 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992129142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2014
Last Update: February 24, 2026
Sole Proprietor: No

Mailing Address

530 E Cedar St

Elizabethtown, PA 170222516

Phone: 7175881059

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.