Individual provider Active NPI

Billie Jeanne Burry, PHD, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Honesdale, PA
National Provider Identifier
1114741907
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031116 Issued in PA
Practice address
1839 Fair Ave
Honesdale, PA 18431-2121
Phone
(570) 251-6500
Fax
(570) 253-5697
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 SP031116 PA Primary

Addresses

Primary practice location

1839 Fair Ave
Honesdale, PA 18431-2121

Mailing address

1839 Fair Ave
Honesdale, PA 18431-2121
Phone (570) 251-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121000219 PA Practitioner - Nurse Practitioner 0345779328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SP031116PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Corporation of Northeastern Pennsylvania CurrentSince May 1, 2025 Accepting new patients
Rural Health Corporation of Northeastern Pennsylvania CurrentSince May 1, 2025 Accepting new patients
Rural Health Corporation of Northeastern Pennsylvania Past Accepting new patients

Locations

26 N Main St
Shickshinny, PA 18655
Phone (570) 542-4141

276 E End Ctr
Wilkes Barre, PA 18702
Phone (570) 825-8741

Interoperability endpoints

  • Direct secure messaging: billieburrynp@rhc.medentdirect.com

Organizations & group practices 3

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1114741907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-251-6500",
            "fax_number": "570-253-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-251-6500",
            "fax_number": "570-253-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRY",
        "first_name": "BILLIE",
        "middle_name": "JEANNE",
        "credential": "PHD, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.