Connor Daniel Burns
Individual provider Active NPI Physician Assistant · Walkerton, IN
NPI 1285348656 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1285348656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 285 Thorn Rd
Walkerton, IN 46574-9600 - Phone
- (574) 850-0862
- NPI assigned
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urologic Surgery of Nwi PC
Practice addresses (Care Compare)
1101 Glendale Blvd
Suite 107a
Valparaiso, IN 46383-3775
Phone (219) 286-6888
Hospital & facility affiliations
- Northwest Health - Porter
- Northwestern Medicine Central Dupage Hospital
- St Mary Medical Center Inc
- Northwest Health - Starke
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20251119000274 | IN | Practitioner - Physician Assistant | 6103317094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urologic Surgery of Nwi, PC | Current |
Accepting new patients |
Locations
1101 Glendale Blvd
Ste 107A
Valparaiso, IN 46383
Phone (219) 286-6888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
285 Thorn Rd
Walkerton, IN 46574-9600
Mailing address
285 Thorn Rd
Walkerton, IN 46574-9600
Phone (574) 850-0862
Other providers in Walkerton, IN
- Lindsey Marie Allen
- Lisa K Allen
- Khadijah Adoma Andoh
- Thomas E Bolze
- Ashley Renae Burch
- Randi Veronica Davis
- Hook-Superx LLC
- John Glenn School Corporation
- Johnson Memorial Hospital
- James Bradford Joros
All providers in Walkerton, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. 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.