Cristy J Burghardt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601006733 Issued in MI

Practice address

3000 Old Centre Rd
Portage, MI 49024-4883

Phone

(269) 321-7546

Fax

(269) 321-1705

NPI assigned

Sep 12, 2013

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Dermatology Institute PLLCGroup PAC ID 0244603512, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cburghardt@southwestmichiganderm.emadirect.md
• FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

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.

• Midwest Dermatology Institute PLLC

  • MOHS-Micrographic Surgery Physician
  • Battle Creek, MI
  • NPI 1649977935
  Medicare reassignment Care Compare group NPD
• Bronson Methodist Hospital

  dba Bronson Medical Group

  • Hospitalist Physician
  • Kalamazoo, MI
  • NPI 1417961137

  Physician Assistant

  Medicare reassignment NPD
• Paragon Health, P.C.

  dba Southwest Michigan Dermatology

  • Dermatology Physician
  • Portage, MI
  • NPI 1902847098
  Medicare reassignment NPD
• Paragon Health PC

  dba Kalamazoo Pediatrics

  • Pediatrics Physician
  • Portage, MI
  • NPI 1427848845
  NPD
• Dayone City Care

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1659771426

  Medical

  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1407281108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OLD CENTRE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244883",
            "telephone_number": "269-321-7546",
            "fax_number": "269-341-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OLD CENTRE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244883",
            "telephone_number": "269-321-7546",
            "fax_number": "269-321-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGHARDT",
        "first_name": "CRISTY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Budzynski
• Breana Buikema
• Mary Ann Bukowski, D.D.S.
• Carole Marie Bullmer, ED.D.
• Justine Elizabeth Bunka
• Peregrine Joseph Burke-McAllister, PTA
• Lynette Marie Burkett, AUD
• Jessica Erin Burley, RPH
• Cassandra Burlingame, LMSW
• Carrie Burnett, RN

• Medical Physician Assistant in Portage, MI
• Providers in Portage, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.