Individual provider Active NPI

Katharine Grace Burke, AGPCNP

  • Primary Care Nurse Practitioner
  • Bala Cynwyd, PA
National Provider Identifier
1336851757
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP025115 Issued in PA
Practice address
150 Monument Rd
Bala Cynwyd, PA 19004-1702
Phone
(610) 747-3400
NPI assigned
Dec 16, 2022
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP025115 PA Primary

Addresses

Primary practice location

150 Monument Rd
Bala Cynwyd, PA 19004-1702

Mailing address

2010 Wilder St
Philadelphia, PA 19146-4525
Phone (610) 574-8332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230213001668 PA Practitioner - Nurse Practitioner 6608248000 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians

Practice addresses (Care Compare)

3701 Market St
FL 7
Philadelphia, PA 19104-5508
Phone (215) 349-5200

3819 Chestnut St
Philadelphia, PA 19104-3171
Phone (215) 662-2746

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025115PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Current Accepting new patients
Trustees of the University of Pennsylvania CurrentSince Apr 29, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 20, 2023 Accepting new patients
University of Penn - Medical Group CurrentSince Jul 29, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 20, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 20, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 20, 2023 Accepting new patients

Locations

150 Monument Rd
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 617-2400

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

3701 Market St
Fl 7
Philadelphia, PA 19104
Phone (215) 349-5200

3701 Market St
Ste 741
Philadelphia, PA 19104
Phone (215) 349-5200

3819 Chestnut St
Ste 205
Philadelphia, PA 19104
Phone (215) 662-2354

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 7

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.

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1336851757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WILDER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464525",
            "telephone_number": "610-574-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041702",
            "telephone_number": "610-747-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KATHARINE",
        "middle_name": "GRACE",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP025115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.