Individual provider Active NPI

Becky Jo Burdick, PA-C

  • Physician Assistant
  • Eagan, MN
National Provider Identifier
1366461840
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9606 Issued in MN
Practice address
1185 Town Centre Dr Ste 100
Eagan, MN 55123-1188
Phone
(651) 968-5200
Fax
(651) 968-5903
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9606 MN Primary

Addresses

Primary practice location

1185 Town Centre Dr Ste 100
Eagan, MN 55123-1188

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5042

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bburdick339844@ewd.direct.hshs.org Direct Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis
Direct Messaging Address bburdick93213@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20041129000719 MN Practitioner - Physician Assistant 2365407673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 Hwy 25 N
Buffalo, MN 55313-1930

2925 Chicago Ave Mail Station
Minneapolis, MN 55440-0043

3500 American Blvd W
Suite 300
Bloomington, MN 55431-4442

6880 W Snowville Rd
Suite 210
Brecksville, OH 44141-3255

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jan 5, 2016 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 7, 2024 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 7, 2024 Accepting new patients
Allina Health System CurrentSince Jan 5, 2016 Accepting new patients
Medical Services, Inc Past Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients
Ecc Addiction & Toxicology Services LLC Past Accepting new patients

Locations

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

9630 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 520-7580

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600

2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000

16800 37th Pl N
#200
Plymouth, MN 55446
Phone (635) 207-8707

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Interoperability endpoints

  • Direct secure messaging: bburdick93213@excellian.direct.allina.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1366461840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254925",
            "telephone_number": "651-968-5042",
            "fax_number": "651-968-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231188",
            "telephone_number": "651-968-5200",
            "fax_number": "651-968-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "BECKY",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bburdick339844@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1051 West Ave",
            "city": "Rice Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548684425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bburdick93213@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2855 Campus Dr",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554412649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.