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KAITLIN M BOURDEAU PA
NPI 1780236489
Physician Assistant in Bloomfield, NJ

Active since July 12, 2019PECOS Enrolled
1255 BROAD ST STE 201A, BLOOMFIELD, NJ 07003(973) 842-2100 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2019, Jul 12, 2019 (2 updates tracked since 2019).

About Kaitlin M Bourdeau Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN M BOURDEAU PA (NPI 1780236489) is an individual physician assistant in Bloomfield, New Jersey, licensed in (25MP00528000) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780236489
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLIN M BOURDEAUCredential: PA
Location Address1255 BROAD ST STE 201ABloomfield, NJ 07003-3061
Mailing Address135 Brakeshoe PlMahwah, NJ 07430-1102 · (551) 804-7432
Phone(973) 842-2100
Sole ProprietorNo
Enumeration DateJuly 12, 2019
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1780236489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 25MP00528000
Definition

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.

1255 BROAD ST STE 201A, Bloomfield, NJ 07003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin M Bourdeau Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
217 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
174 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services34 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
33 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims36 services$5.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Bourdeau's NPI number?

The NPI number for Kaitlin Bourdeau is 1780236489. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Kaitlin Bourdeau located?

Kaitlin Bourdeau practices at 1255 Broad St Ste 201A, Bloomfield, NJ 07003. The listed phone number is (973) 842-2100.

What is Kaitlin Bourdeau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kaitlin Bourdeau enrolled in Medicare?

Yes. Kaitlin Bourdeau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Bourdeau was last updated on July 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.