Alison Elaine Burchardt, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209013337 Issued in IL

Practice address

1890 Silver Cross Boulevard
Pavilion a, Suite 240
New Lenox, IL 60451

Phone

(815) 740-1900

Fax

(815) 485-4458

NPI assigned

Sep 30, 2015

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 IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary Care Physicians of Joliet SC

  • Primary Care Clinic/Center
  • Joliet, IL
  • NPI 1912473604
  Medicare reassignment NPD

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1295105484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO ST",
            "address_2": "STE 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363173",
            "telephone_number": "815-726-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BOULEVARD",
            "address_2": "PAVILION A, SUITE 240",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "815-740-1900",
            "fax_number": "815-485-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHARDT",
        "first_name": "ALISON",
        "middle_name": "ELAINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209013337",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209013337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Bruni
• Pauline Pakla Bubanko, O.D.
• Steven Andrew Bubanko, O.D.
• Laura M Bucher-Bailey, PHARMD
• Eric Buck, ATC
• Priscilla Burgmayer, CNM
• Lisa Burica, SLP
• Maeve Burke, M.S., CCC-SLP
• Gina E Burlison
• Jonathan Burns, DC

• Adult Health Nurse Practitioner in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.