Individual provider Active NPI

Erica Z. Burkert, FNP

  • Nurse Practitioner
  • Marathon, NY
National Provider Identifier
1073612875
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F330963 Issued in NY
Practice address
1 East Main Street
Marathon, NY 13803-0000
Phone
(607) 849-3900
NPI assigned
Sep 21, 2006
Last updated
Sep 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F330963 NY Primary

Addresses

Primary practice location

1 East Main Street
Marathon, NY 13803-0000

Mailing address

17 Main St
Suite 302
Cortland, NY 13045-6606
Phone (607) 753-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040310001138 NY Practitioner - Nurse Practitioner 9537057419 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
330963NYMDLicensed Practical Nurse
F330963NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Nurse Practitioner CurrentSince Dec 5, 2003 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jun 1, 2018 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jun 1, 2018 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Dec 5, 2003 Accepting new patients
Delaware Valley Hospital, Inc PastSince Jul 23, 1997 Accepting new patients
Tahirul Hoda PastSince Aug 1, 2017 Accepting new patients
Family Health Network of Central New York, Inc. Past Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients
Deruyter Health Center Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1020 Vestal Pkwy E
Ste 2
Vestal, NY 13850
Phone (607) 754-5342

Interoperability endpoints

  • Direct secure messaging: dreburkert@amms.medentdirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1073612875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "address_2": "SUITE 302",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130456606",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAST MAIN STREET",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138030000",
            "telephone_number": "607-849-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKERT",
        "first_name": "ERICA",
        "middle_name": "Z.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F330963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, NY

Sources for this page

Verify at the official NPI Registry.