Individual provider Active NPI

Cheryl Ann Burnett, FNP

  • Family Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1467019141
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-174308 Issued in MT
Practice address
150 Commons Way
Kalispell, MT 59901-1910
Phone
(406) 752-2010
Fax
(406) 752-2047
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 570238 CA
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-174308 MT Primary

Addresses

Primary practice location

150 Commons Way
Kalispell, MT 59901-1910

Mailing address

5601 De Soto Ave RM 420
Woodland Hills, CA 91367-6798
Phone (818) 719-3079

Other practice location 1

5601 De Soto Ave Rm 420
Woodland Hills, CA 91367-6798
Phone (818) 719-3079

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230331001179 MT Practitioner - Nurse Practitioner 9537578000 Reassigns benefits to 1 organization
I20260429004467 WA Practitioner - Nurse Practitioner 9537578000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

202 N Division St
Auburn, WA 98001-4939

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-174308MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Apr 1, 2025 Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Locations

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1467019141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DE SOTO AVE RM 420",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676798",
            "telephone_number": "818-719-3079",
            "fax_number": "818-719-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COMMONS WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011910",
            "telephone_number": "406-752-2010",
            "fax_number": "406-752-2047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 De Soto Ave Rm 420",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913676798",
            "country_code": "US",
            "telephone_number": "818-719-3079",
            "fax_number": "818-719-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "570238",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-174308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "150 Commons Way",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599011910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.