Nancy C Burgess, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

3004584 Issued in KY

Practice address

4000 Kresge Way
Louisville, KY 40207-4605

Phone

(502) 897-8281

Fax

(502) 896-7266

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Nancy Wynn Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

X-Ray Associates of Louisville PSCGroup PAC ID 9436146818, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
• Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• X-Ray Associates of Louisville PSC

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1922046002

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Pulmonary & Critical Care Consultants of Louisville

  • Pulmonary Disease Physician
  • Clarksville, IN
  • NPI 1215005418
  NPD (past)
• Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Jeffersonville, IN
  • NPI 1851373435

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System Inc.

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1265539498
  Care Compare affiliation
• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • La Grange, KY
  • NPI 1306925540
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1023061728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074207",
            "telephone_number": "502-895-5405",
            "fax_number": "502-894-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-897-8281",
            "fax_number": "502-896-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "NANCY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1106181",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004584",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3004584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000537179",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710034392",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kasey Lynn Burge
• John Burger, MD
• Audrey Burgess, PTA
• Christina Burgess
• Mary Burgess, PHARMD
• Sarah Richardson Burgess, FNP
• Sheila Burgess, COTA/L
• Allison Elaine Burgett, PA-C
• Luke Burgett
• John Burggman

• Acute Care Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Acute Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.