Individual provider Active NPI

Heather Lynn Bur, NP-C

  • Family Nurse Practitioner
  • Petoskey, MI
National Provider Identifier
1356892624
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704270539 Issued in MI
Practice address
624 Charlevoix Ave
Petoskey, MI 49770
Phone
(231) 347-5155
NPI assigned
Oct 20, 2016
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005200 CA
Family Nurse Practitioner 363LF0000X 4704270539 MI Primary

Addresses

Primary practice location

624 Charlevoix Ave
Petoskey, MI 49770

Mailing address

4770 2ND St
Cheboygan, MI 49721-9223
Phone (989) 330-0672

Other practice location 1

3860 S Straits Hwy
Indian River, MI 49749-5146
Phone (231) 238-0581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190912001984 MI Practitioner - Nurse Practitioner 0648509877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3860 S Straits Hwy
MHC Omh Medical Group Indian River
Indian River, MI 49749-5146
Phone (231) 238-0581

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005200CAMDFamily Nurse Practitioner
4704270539MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Bay Street Orthopaedics PLLC CurrentSince Jul 5, 2022 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 21, 2019 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Oct 26, 2020 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 21, 2019 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Oct 26, 2020 Accepting new patients
Sendas Northwest Urgent Care Current Accepting new patients
Bay Street Orthopaedics PLLC CurrentSince Jul 5, 2022 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients

Locations

14715 W Upright St
Charlevoix, MI 49720
Phone (231) 347-5155

810 S Main St
Cheboygan, MI 49721
Phone (231) 627-9921

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

4100 Lake Dr SE
Ste 102
Grand Rapids, MI 49546
Phone (616) 267-7800

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

3040 Bourn St
Lewiston, MI 49756
Phone (989) 731-7777

4048 Cedar Bluff Dr
Ste 1
Petoskey, MI 49770
Phone (231) 347-5155

624 Charlevoix Ave
Petoskey, MI 49770
Phone (231) 347-5155

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Interoperability endpoints

  • Direct secure messaging: hbur02@direct.mhc.net
  • Direct secure messaging: hbur250448@epic00.shdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHDAD

Organizations & group practices 9

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1356892624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 2ND ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219223",
            "telephone_number": "989-330-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CHARLEVOIX AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-347-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 S Straits Hwy",
            "address_purpose": "LOCATION",
            "city": "Indian River",
            "state": "MI",
            "postal_code": "497495146",
            "country_code": "US",
            "telephone_number": "231-238-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUR",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.