Individual provider Active NPI

Nichol Lynn Burch

  • Family Nurse Practitioner
  • Kerrville, TX
National Provider Identifier
1285398255
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057412 Issued in TX
Practice address
250 Cully Dr
Kerrville, TX 78028-5950
Phone
(830) 258-6300
Fax
(830) 515-5485
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 1057412 TX Primary

Addresses

Primary practice location

250 Cully Dr
Kerrville, TX 78028-5950

Mailing address

250 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-6300

Other practice location 1

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (830) 896-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211122003078 TX Practitioner - Nurse Practitioner 2062801509 Reassigns benefits to 3 organizations
I20240127000713 WY Practitioner - Nurse Practitioner 2062801509 Reassigns benefits to 2 organizations
I20251028001406 MT Practitioner - Nurse Practitioner 2062801509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services Southeast LLCGroup PAC ID 4284075722, 29 clinicians
Centric Physicians Group PLLCGroup PAC ID 1951614726, 22 clinicians
Centric Physicians Intermountain Region, PLLCGroup PAC ID 2466880851, 10 clinicians
Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians

Practice addresses (Care Compare)

1500 32ND St S
Great Falls, MT 59405-5300
Phone (888) 964-6681

17 Old San Antonio Rd
Suite 201
Boerne, TX 78006-3495
Phone (830) 214-7714

200 N Oregon St
Suite 3624
Dillon, MT 59725-3624
Phone (877) 541-0665

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

4305 S Poplar St
Casper, WY 82601-6106
Phone (830) 267-4575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coe-Medical PLLC CurrentSince Sep 30, 2022 Accepting new patients
Healthdrive Medical Services Intermountain, PC Family CurrentSince Jan 1, 2026 Accepting new patients
Healthdrive Medical Services of Texas LLC CurrentSince Jan 1, 2026 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Feb 1, 2026 Accepting new patients
Coe Medical Intermountain PLLC CurrentSince Dec 26, 2023 Accepting new patients

Locations

200 N Oregon St
#3624
Dillon, MT 59725
Phone (406) 683-5105

1500 32nd St S
Great Falls, MT 59405
Phone (406) 761-4300

6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141

222 FM 1077
Bandera, TX 78003
Phone (830) 796-4077

625 N Main St
Boerne, TX 78006
Phone (830) 249-3085

7700 Mesquite Pass
Converse, TX 78109
Phone (210) 650-0551

711 Kings Way
Del Rio, TX 78840
Phone (830) 774-0698

1117 S Adams St
Fredericksburg, TX 78624
Phone (830) 997-4364

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

747 Alpine Dr
Kerrville, TX 78028
Phone (830) 896-2323

1555 Bandera Hwy
Kerrville, TX 78028
Phone (830) 412-2366

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

2201 Junction Hwy
Kerrville, TX 78028
Phone (830) 792-4001

3935 Medical Dr
San Antonio, TX 78229
Phone (210) 614-4888

2401 Wilson Blvd
San Antonio, TX 78228
Phone (210) 736-3334

603 SW 24th St
San Antonio, TX 78207
Phone (210) 435-7711

2201 Saint Cloud Rd
San Antonio, TX 78228
Phone (210) 731-1000

8306 Huebner Rd
San Antonio, TX 78240
Phone (210) 691-3111

930 Roy Richard Dr
Selma, TX 78154
Phone (210) 566-9100

384 Harmony Hls
Spring Branch, TX 78070
Phone (830) 438-1276

5437 Eisenhauer Rd
Windcrest, TX 78218
Phone (210) 646-9576

4305 S Poplar St
Casper, WY 82601
Phone (307) 237-2561

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1285398255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CULLY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285950",
            "telephone_number": "830-258-6300",
            "fax_number": "830-515-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CULLY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285950",
            "telephone_number": "830-258-6300",
            "fax_number": "830-515-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Hill Country Dr",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780286085",
            "country_code": "US",
            "telephone_number": "830-896-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCH",
        "first_name": "NICHOL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.