Jacquelin P Burke, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

COA10347-NP Issued in OH

Practice address

605 N Cleveland Massillon Rd
Ste a
Akron, OH 44333-2200

Phone

(330) 668-6545

Fax

(330) 668-2726

NPI assigned

Jul 3, 2009

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obstetrical and Gynecological Associates of Akron IncGroup PAC ID 5496789232, 7 clinicians

Maternohio Clinical Associates LLCGroup PAC ID 4587695192, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summa Health System Hospital, Akron, OH, CCN 360020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Maternohio Clinical Associates LLC

  • Specialist
  • Columbus, OH
  • NPI 1013008192
  Medicare reassignment Care Compare group NPD
• Obstetrical & Gynecological Associates of Akron Inc

  dba OBGYN Associates of Akron

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1861567091
  Medicare reassignment Care Compare group
• Family Statcare of Northeast Ohio, LLC

  • Nurse Practitioner
  • Wadsworth, OH
  • NPI 1053565986
  NPD (past)

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

• Summa Health System

  dba Summa Health System Ignatia Hall South

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1063641603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N CLEVELAND MASSILLON RD",
            "address_2": "STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332200",
            "telephone_number": "330-668-6545",
            "fax_number": "330-668-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N CLEVELAND MASSILLON RD",
            "address_2": "STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332200",
            "telephone_number": "330-668-6545",
            "fax_number": "330-668-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JACQUELIN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "COA10347-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Burgsos, RBT
• Tammy Marie Burkart, RPH
• Allison Burke, PHD
• Ebony Burke
• Emily Burke, RBT
• Kelley Lynn Burke, RN
• Marvin David Burke
• Michelle Lynne Burke, M.D.
• Tracy Burke, PH.D.
• David G Burket, MD

• Obstetrics & Gynecology Nurse Practitioner in Akron, OH
• Providers in Akron, OH by specialty
• Obstetrics & Gynecology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.