Patricia D Bursnall, FNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Colorado Springs, CO
NPI 1134535586 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1134535586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APN.0991234-NP (CO)
- Practice address
- 3207 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5100 - Phone
- (719) 632-5700
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Vista Community Health Centers
Practice addresses (Care Compare)
1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000
340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 632-5700
350 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 632-5700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140922001277 | CO | Practitioner - Nurse Practitioner | 3274752480 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0991234-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Colorado | Family | Current | Accepting new patients |
| Regents of the University of Colorado | Current |
Accepting new patients | |
| The Regents of the University of Colorado | Current |
Accepting new patients |
Locations
4863 N Nevada Ave
Ste 380
Colorado Springs, CO 80918
Phone (719) 255-8001
Interoperability endpoints
- patricia.bursnall.p1@direct.peakvista.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0991234-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0991234-NP | CO | Yes |
Addresses
Primary practice location
3207 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5100
Mailing address
3205 N Academy Blvd
Suite 130
Colorado Springs, CO 80917-5147
Phone (719) 632-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41134273 | Medicaid | CO |
Other names
- Patricia D Stevens
Other providers in Colorado Springs, CO
- Shayla Burroughs
- Aimee Burrows
- Emily Angelica Burrows
- Tim M Burrows
- Christine Bursaw
- Jennifer Burst
- Cierra Burtner
- Alli T Burtnett
- Kayla Burton-Figueroa
- Cheyanne Burton
All providers in Colorado Springs, CO · Psychiatric/Mental Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.