Kimberly Bousema, PA
NPI 1629819826 · Physician Assistant · Rensselaer, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Bousema, PA is a Physician Assistant provider in Rensselaer, IN (NPI 1629819826).
Provider details
- NPI number
- 1629819826
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10004742A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 309 E 2nd StPomona, CA 91766-1854Phone: (909) 306-8660
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Kimberly Bousema's NPI number?
- Kimberly Bousema's National Provider Identifier (NPI) is 1629819826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Bousema's specialty?
- Kimberly Bousema is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Bousema located?
- Kimberly Bousema's practice location on file with NPPES is 1103 E Grace St, Rensselaer, IN 47978-3251.
- What is Kimberly Bousema's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Bousema is (219) 866-0411.
- Does Kimberly Bousema accept Medicare?
- Kimberly Bousema is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Bousema's NPI active?
- Yes — Kimberly Bousema's NPI (1629819826) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.