Individual provider Active NPI

Maison Burr-Meldrum

  • Family Nurse Practitioner
  • Marysville, MI
National Provider Identifier
1033953773
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704380147 Issued in MI
Practice address
3350 Gratiot Blvd Ste a
Marysville, MI 48040-2121
Phone
(810) 364-4000
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704380147 MI Primary

Addresses

Primary practice location

3350 Gratiot Blvd Ste a
Marysville, MI 48040-2121

Mailing address

3350 Gratiot Blvd Ste a
Marysville, MI 48040-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240809000552 MI Practitioner - Nurse Practitioner 0042757924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Healthcare Network PCGroup PAC ID 3476456252, 30 clinicians

Practice addresses (Care Compare)

3350 Gratiot Blvd
Marysville, MI 48040-2121
Phone (810) 364-4000

Hospital & facility affiliations

  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Healthcare Network, PC Family CurrentSince Jul 1, 2024 Accepting new patients

Locations

3050 Commerce Dr
Fort Gratiot, MI 48059
Phone (810) 385-4441

36267 26 Mile Rd
Ste 3
Lenox, MI 48048
Phone (586) 716-1371

3350 Gratiot Blvd
Ste A
Marysville, MI 48040
Phone (810) 364-1394

3350 Gratiot Blvd
Marysville, MI 48040
Phone (810) 364-4000

Interoperability endpoints

  • Direct secure messaging: maison.burr.1@11357.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1033953773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 GRATIOT BLVD STE A",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 GRATIOT BLVD STE A",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402121",
            "telephone_number": "810-364-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR-MELDRUM",
        "first_name": "MAISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704380147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, MI

Sources for this page

Verify at the official NPI Registry.