Brandon James Burnett, APRN CNP
Individual provider Active NPI Family Nurse Practitioner · Macomb, IL
NPI 1427730274 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1427730274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.027824 (IL)
- Practice address
- 525 E Grant St
Macomb, IL 61455-3318 - Phone
- (309) 836-1744
- Fax
- (309) 836-1745
- NPI assigned
- Aug 2, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Philadelphia, PA 19101
PO Box
Atlanta, GA 30374
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230908002726 | IL | Practitioner - Nurse Practitioner | 3476917477 | Reassigns benefits to 5 organizations |
| I20260619000531 | GA | Practitioner - Nurse Practitioner | 3476917477 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.027824 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Prairie Physicians PLLC | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Nurse Practitioner | Current |
Accepting new patients |
| Proctor Health Systems | Current | Accepting new patients | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
900 Main St
Ste 100
Peoria, IL 61602
Phone (309) 671-7772
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- bburnettaprn396591@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.027824 | IL | Yes |
Addresses
Primary practice location
525 E Grant St
Macomb, IL 61455-3318
Mailing address
2620 Sydney PL
Pekin, IL 61554-6630
Phone (217) 254-7516
Other providers in Macomb, IL
- Bruenger Chiropractic LLC
- Ryan Matthew Bruenger
- Buffalo Prairie Dental Care of Macomb, Inc
- Michael Clayton Burgard
- Amy Ruth Burke
- Trudy Maria Buster
- Susanne Carol Campbell
- Edwin L Card
- Gerald L Carreon
- Anna Casali
All providers in Macomb, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.