Active NPI
Kevin P Burman, CRNA
- Certified Registered Nurse Anesthetist
- Chehalis, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60140049
- Practice address
- 2517 NE Kresky Avenue
Chehalis, WA 98532-2409 - Phone
- (360) 748-8632
- Fax
- (360) 748-3869
- NPI assigned
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN619028 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 46909 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | NUR-RN-LIC-71934 | MT | |
| Certified Registered Nurse Anesthetist | 367500000X | 201394417CRNA | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-0182 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | NURA428 | AK | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60140049 | WA | Primary |
Addresses
Primary practice location
2517 NE Kresky Avenue
Chehalis, WA 98532-2409
Mailing address
PO Box 1506
Chehalis, WA 98532-1439
Phone (360) 242-3008
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20004631 | Other | ID | MEDICARE ID |
| 500670615 | Medicaid | OR | |
| G8923257 | Other | WA | MEDICARE WA |
| G8926234 | Other | WA | MEDICARE WA |
| M011004119 | Other | MT | MEDICARE MT |
| 1457674640 | Medicaid | ID | |
| 2005970 | Medicaid | WA | |
| 324226YWN7 | Other | NM | MEDICARE NM |
| R174152 | Other | OR | MEDICARE OR |
| CRNA082826 | Other | NATIONAL CRNA CERTIFICATION | |
| K165387 | Other | AK | MEDICARE AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asc.pclichehalis.p1@direct.pcli.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK, NM, MT, OR, ID
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Cataract and Laser Institute Inc PC
Practice addresses (Care Compare)
1331 NW Lovejoy St
Suite 750
Portland, OR 97209-2799
Phone (503) 535-2883
1600 A St
Suite 200
Anchorage, AK 99501-5147
Phone (907) 272-2423
1621 Market Place Dr
Great Falls, MT 59404-3480
Phone (406) 454-2202
2517 NE Kresky Ave
Chehalis, WA 98532-2433
Phone (360) 748-8632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN619028 | CA | MD | Certified Registered Nurse Anesthetist |
| 46909 | ID | MD | Certified Registered Nurse Anesthetist |
| CRNA-0182 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute, Inc., P.C. | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute, Inc., P.C. | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute, Inc., P.C. | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute, Inc., P.C. | Current | Accepting new patients | |
| NPI 1245471788 | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute of Alaska Inc PC | Current | Accepting new patients |
Locations
1600 A St
Ste 200
Anchorage, AK 99501
Phone (907) 272-2423
2822 S Vista Ave
Boise, ID 83705
Phone (208) 385-7576
3330 4th St
Lewiston, ID 83501
Phone (208) 746-2025
1621 Market Place Dr
Great Falls, MT 59404
Phone (406) 454-2202
8220 San Pedro Dr NE
Ste 220
Albuquerque, NM 87113
Phone (360) 242-4610
1331 NW Lovejoy St
Ste 750
Portland, OR 97209
Phone (503) 535-2883
19801 SW 72nd Ave
Ste 150
Tualatin, OR 97062
Phone (503) 691-2283
2606 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 462-7664
4330 Mitchell Way
Bellingham, WA 98226
Phone (360) 736-6860
2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632
6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826
115 New View Ct NE
Olympia, WA 98506
Phone (360) 252-1642
9598 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 698-5062
16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008
2915 S Alder St
Tacoma, WA 98409
Phone (253) 473-0275
2205 NE 129th St
Vancouver, WA 98686
Phone (360) 450-6644
3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356
Interoperability endpoints
- asc.pclichehalis.p1@direct.pcli.nextgenshare.com
- kevin.burman.p1@direct.pcli.nextgenshare.com
Organizations & group practices 11
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.
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1548213077
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1306013925
-
- Ambulatory Surgical Clinic/Center
- Chehalis, WA
- NPI 1114978848
ID, MT
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1194970418
-
- Ambulatory Surgical Clinic/Center
- Tualatin, OR
- NPI 1265609945
-
- Ambulatory Surgical Clinic/Center
- Chehalis, WA
- NPI 1487821633
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1659548329
-
- Ophthalmologic Surgery Clinic/Center
- Auburn, WA
- NPI 1528814647
-
- Ambulatory Surgical Clinic/Center
- Kennewick, WA
- NPI 1619144607
-
- Ambulatory Surgical Clinic/Center
- Boise, ID
- NPI 1275700957
-
- Ambulatory Surgical Clinic/Center
- Great Falls, MT
- NPI 1912174996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1457674640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985321439",
"telephone_number": "360-242-3008",
"fax_number": "360-807-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 NE KRESKY AVENUE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322409",
"telephone_number": "360-748-8632",
"fax_number": "360-748-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURMAN",
"first_name": "KEVIN",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "RN619028",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "46909",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "NUR-RN-LIC-71934",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201394417CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA-0182",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "NURA428",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60140049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "20004631",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500670615",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "G8923257",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "G8926234",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MT",
"identifier": "M011004119",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457674640",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2005970",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NM",
"identifier": "324226YWN7",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OR",
"identifier": "R174152",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CRNA CERTIFICATION",
"identifier": "CRNA082826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE AK",
"identifier": "K165387",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asc.pclichehalis.p1@direct.pcli.nextgenshare.com",
"affiliation": "N",
"address_1": "2517 NE Kresky Avenue",
"city": "Chehalis",
"state": "WA",
"country_code": "US",
"postal_code": "985322409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.