Individual provider Active NPI

Charles W Burns, NP

  • Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1437134947
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
33332858 Issued in NY
Practice address
6435 Webster Rd
Orchard Park, NY 14127-1835
Phone
(716) 266-6664
Fax
(716) 266-6665
NPI assigned
Dec 8, 2005
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33332858 NY Primary

Addresses

Primary practice location

6435 Webster Rd
Orchard Park, NY 14127-1835

Mailing address

6435 Webster Rd
Orchard Park, NY 14127-1835
Phone (716) 266-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100303000177 NY Practitioner - Nurse Practitioner 8022153980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Robert Erickson DO and Jennifer Erickson DO LLCGroup PAC ID 5991748626, 13 clinicians

Practice addresses (Care Compare)

3671 Southwestern Blvd
Suite 101
Orchard Park, NY 14127-1749
Phone (716) 662-7008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33332858NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Erickson DO and Jennifer Erickson DO LLC CurrentSince Dec 5, 2022 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Jun 1, 2021 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Jun 1, 2021 Accepting new patients
Robert Erickson DO and Jennifer Erickson DO LLC CurrentSince Dec 5, 2022 Accepting new patients
Donald W. Robinson, MD PastSince Jan 24, 2000 Accepting new patients
Western New York Ear, Nose & Throat, P.C. PastSince Sep 25, 2019 Accepting new patients

Locations

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

3065 Southwestern Blvd
Ste 102
Orchard Park, NY 14127
Phone (716) 261-1474

3671 Southwestern Blvd
Ste 101
Orchard Park, NY 14127
Phone (716) 662-7008

Interoperability endpoints

  • Direct secure messaging: cburns@familypractice.medentdirect.com

Organizations & group practices 7

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 3

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1437134947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 WEBSTER RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271835",
            "telephone_number": "716-266-6664",
            "fax_number": "716-266-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 WEBSTER RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271835",
            "telephone_number": "716-266-6664",
            "fax_number": "716-266-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "33332858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.