Mindi Burdick, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202204477 Issued in OR

Practice address

2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157

Phone

(503) 371-7701

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mindi.burdick.p96@direct.wvp.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WVP Medical Group, LLC

  • Primary Care Clinic/Center
  • Salem, OR
  • NPI 1124352877
  Medicare reassignment NPD
• WVP Medical Group, LLC

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1922583616
  NPD
• Emurgent Care LLC

  • Urgent Care Clinic/Center
  • Dallas, OR
  • NPI 1265871123
  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1245808047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 S 9TH ST",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973511662",
            "telephone_number": "971-237-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 RYAN DR SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015157",
            "telephone_number": "503-371-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "MINDI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "097003008RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202204477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Buller, R.N.
• Luther B Bullock Jr., D.D.S.
• Emily Bunker
• Caitlin Burbank, DPT
• Mary Katherine Burch
• Stacy Burdick, DM- BCC (2054) RBAI
• Kayla Burg, EPDH
• Amy Marie Burgard
• Julie Elizabeth Burgerman, CHW
• Heather J Burgin, M.D.

• Family Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.