Individual provider Active NPI

Rebecca Charlotte Burke, WHNP-BC

  • Women's Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1255845756
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN11045714 Issued in FL
Practice address
16261 Bass Rd Ste 100
Fort Myers, FL 33908-3671
Phone
(239) 931-5740
NPI assigned
Nov 21, 2017
Last updated
Nov 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11045714 FL Primary

Addresses

Primary practice location

16261 Bass Rd Ste 100
Fort Myers, FL 33908-3671

Mailing address

16261 Bass Rd Ste 100
Fort Myers, FL 33908-3671
Phone (239) 931-5740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20180620000554 DC Practitioner - Nurse Practitioner 8426303256 Reassigns benefits to 1 organization
I20181029002206 MD Practitioner - Nurse Practitioner 8426303256 Reassigns benefits to 2 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
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

4 E Rolling Crossroads
Suite 110
Catonsville, MD 21228-6277
Phone (410) 744-9073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Sep 4, 2018 Accepting new patients
Seton Medical Group, Inc CurrentSince Jan 8, 2019 Accepting new patients
St Agnes Healthcare Inc CurrentSince Sep 4, 2018 Accepting new patients
TLC Perinatal Richard Broth MD PC CurrentSince May 15, 2018 Accepting new patients

Locations

3449 Wilkens Ave
Ste 305
Baltimore, MD 21229
Phone (410) 368-8685

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

4 E Rolling Xrds
Ste 110
Catonsville, MD 21228
Phone (410) 368-2600

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

10801 Lockwood Dr
Ste 300
Silver Spring, MD 20901
Phone (301) 681-0004

Organizations & group practices 4

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1255845756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16261 BASS RD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083671",
            "telephone_number": "239-931-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 BASS RD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083671",
            "telephone_number": "239-931-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "REBECCA",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11045714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.