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KIMBERLY BROOKE RIVERA BOURKE PA-C
NPI 1992129142
Physician Assistant in Elizabethtown, PA

Active since February 08, 2014PECOS Enrolled
530 E CEDAR ST, ELIZABETHTOWN, PA 17022(717) 588-1059(717) 689-1246 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Brooke Rivera Bourke Pa-c NPPES

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

KIMBERLY BROOKE RIVERA BOURKE PA-C (NPI 1992129142) is an individual physician assistant in Elizabethtown, Pennsylvania, licensed in Pennsylvania (MA057178) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992129142
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY BROOKE RIVERA BOURKECredential: PA-C
Location Address530 E CEDAR STElizabethtown, PA 17022-2516
Mailing Address530 E Cedar StElizabethtown, PA 17022-2516 · (717) 588-1059 · Fax (717) 689-1246
Phone(717) 588-1059
Fax(717) 689-1246
Sole ProprietorNo
Enumeration DateFebruary 8, 2014
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1992129142 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 in PA · MA057178
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.
530 E CEDAR ST, Elizabethtown, PA 17022
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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)

Kimberly Brooke Rivera Bourke Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17022 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Kimberly Bourke's NPI number?

The NPI number for Kimberly Bourke is 1992129142. It was assigned to this individual provider in the NPPES registry on February 8, 2014.

Where is Kimberly Bourke located?

Kimberly Bourke practices at 530 E Cedar St, Elizabethtown, PA 17022. The listed phone number is (717) 588-1059.

What is Kimberly Bourke's specialty?

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

Is Kimberly Bourke enrolled in Medicare?

Yes. Kimberly Bourke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Bourke was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.