Michaela Burandt

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-010106 Issued in IL

Practice address

2422 12TH Street CT
De Witt, IA 52742-1225

Phone

(563) 659-6090

Fax

(866) 493-4063

NPI assigned

Sep 6, 2022

Last updated

Dec 4, 2025By 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 IL, IA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dewitt Family Practice PLLCGroup PAC ID 1850738592, 5 clinicians

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIDDDD/Endpoint/EIDDDD
• Direct secure messaging: mburandt1106371@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  IL

  Medicare reassignment Care Compare group NPD
• Dewitt Family Practice, PLLC

  • Family Medicine Physician
  • De Witt, IA
  • NPI 1659142271
  Medicare reassignment Care Compare group
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • De Witt, IA
  • NPI 1295663680
  NPD (past)
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134

  Physician Assistant

  NPD (past)

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

• Genesis Health System

  dba Genesis Medical Center Dewitt

  • Critical Access Hospital
  • De Witt, IA
  • NPI 1649368523
  Care Compare affiliation
• Genesis Health System

  dba Genesis Medical Center Davenport

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation
• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1205557600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 12TH STREET CT",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527421225",
            "telephone_number": "563-659-6090",
            "fax_number": "866-493-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 12TH STREET CT",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527421225",
            "telephone_number": "563-659-6090",
            "fax_number": "866-493-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURANDT",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-010106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa J Blank, D.D.S
• Sarah J Blinkinsop, LISW
• Dennis C Bousselot, RPH
• Amanda Rose Brainerd, RD
• Building Momentum, LLC
• Traci Renea Butler, D.C.
• Ashley Butt, PHARM D
• Jessica Butt, LISW
• Shelley Lynn Carlson, D.C.
• Carmella Wold LLC

• Physician Assistant in De Witt, IA
• Providers in De Witt, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.