Individual provider Active NPI

Anisa Ranay Burdick, FNP-C

  • Family Nurse Practitioner
  • Clinton, MO
National Provider Identifier
1235610395
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018017690 Issued in MO
Practice address
1600 N 2ND St
Clinton, MO 64735-1297
Phone
(660) 885-5511
NPI assigned
Aug 27, 2018
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 2018017690 MO Primary

Addresses

Primary practice location

1600 N 2ND St
Clinton, MO 64735-1297

Mailing address

1600 N 2ND St
Clinton, MO 64735-1297
Phone (660) 885-5511

Other names 1

  • Anisa R. Weicht Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20181001000145 MO Practitioner - Nurse Practitioner 9638420722 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Missouri LLCGroup PAC ID 7517259252, 9 clinicians
Urgent Care of Saline County LLCGroup PAC ID 3678040466, 4 clinicians

Practice addresses (Care Compare)

202 E Nifong Blvd
Providence Urgent Care Nifong
Columbia, MO 65203-3759
Phone (573) 874-6824

2110 S Odell Ave
Marshall, MO 65340-3728
Phone (660) 259-1259

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
Providence Urgent Care LLC CurrentSince Jul 29, 2009 Accepting new patients
Nextcare Missouri LLC CurrentSince Jun 12, 2024 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 20, 2018 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. CurrentSince Jul 12, 2023 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 20, 2018 Accepting new patients
Sedalia Urgent Care LLC CurrentSince Aug 10, 2025 Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Jul 12, 2023 Accepting new patients
Sedalia Urgent Care LLC CurrentSince Jul 31, 2019 Accepting new patients
Mo Cardinals Emergency Physicians, LLC Past Accepting new patients

Locations

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

115 W Broadway Blvd
Ste 100
Sedalia, MO 65301
Phone (660) 951-1091

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1235610395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351297",
            "telephone_number": "660-885-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351297",
            "telephone_number": "660-885-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "ANISA",
        "middle_name": "RANAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018017690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISA",
            "last_name": "WEICHT",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.