MRS. LORI K BOURNE P.A.
NPI 1841449766
Physician Assistant - Medical in Merritt Island, FL

Active since September 16, 2008PECOS EnrolledAccepts Medicare Assignment
1395 N COURTENAY PKWY STE 106, MERRITT ISLAND, FL 32953(321) 452-1224(321) 453-7784 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Lori K Bourne P.a. NPPES

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

MRS. LORI K BOURNE P.A. (NPI 1841449766) is an individual medical provider in Merritt Island, Florida, licensed in Florida (PA2514) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Melbourne, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1841449766
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LORI K BOURNECredential: P.A.
Location Address1395 N COURTENAY PKWY STE 106Merritt Island, FL 32953-4474
Mailing Address9960 Nw 116th Way Ste 13Medley, FL 33178-1175
Fax(321) 453-7784
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1841449766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA2514
1395 N COURTENAY PKWY STE 106, Merritt Island, FL 32953

Secondary Practice Location 1

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1771 · Fax (321) 434-1775

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lori K Bourne P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537159165
PECOS Enrollment IDI20040515000422
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1395 N COURTENAY PKWY STE 106
MERRITT ISLAND, FL 32953
Psychiatry & Neurology (Psychiatry)
1395 N COURTENAY PKWY STE 106
MERRITT ISLAND, FL 32953

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 Lori Bourne's NPI number?

The NPI number for Lori Bourne is 1841449766. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Lori Bourne located?

Lori Bourne practices at 1395 N Courtenay Pkwy Ste 106, Merritt Island, FL 32953. The listed phone number is (321) 452-1224.

What is Lori Bourne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lori Bourne enrolled in Medicare?

Yes. Lori Bourne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lori Bourne accept?

Health plans from AmeriHealth Caritas Next, UnitedHealthcare and Wellpoint list Lori Bourne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lori Bourne was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.