Active NPI
Kristen Paulette Burke, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Worcester, MA
National Provider Identifier
1407312192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2305591
- Practice address
- 366 Shrewsbury St
Worcester, MA 01604-4647 - Phone
- (508) 595-2700
- Fax
- (774) 221-5136
- NPI assigned
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN01912 | RI | |
| Family Nurse Practitioner | 363LF0000X | RN2305591 | MA | Primary |
Addresses
Primary practice location
366 Shrewsbury St
Worcester, MA 01604-4647
Mailing address
366 Shrewsbury St
Worcester, MA 01604-4647
Phone (508) 595-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110151182A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
366 Shrewsbury St
Worcester, MA 01604-4647
Phone (508) 595-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Current | Accepting new patients |
Locations
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175
366 Shrewsbury St
Worcester, MA 01604
Phone (508) 595-2700
Interoperability endpoints
- kristen.burke.npi1407312192.reliant@direct.optumcare.masshiway.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1407312192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 SHREWSBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044647",
"telephone_number": "508-595-2700",
"fax_number": "774-221-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 SHREWSBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044647",
"telephone_number": "508-595-2700",
"fax_number": "774-221-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "KRISTEN",
"middle_name": "PAULETTE",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2022-10-24",
"certification_date": "2022-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01912",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2305591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110151182A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.