Penny Burkert, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1492 Issued in AZ

Practice address

6655 S Rural Rd
Suite 3
Tempe, AZ 85283-3793

Phone

(480) 831-0600

Fax

(480) 820-3065

NPI assigned

Aug 13, 2006

Last updated

Dec 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alia Family Practice IncGroup PAC ID 0648288076, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Alia Family Practice Inc

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1407987209
  Medicare reassignment Care Compare group
• Southwest Primary Care

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1639387533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1477565943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S RURAL RD",
            "address_2": "SUITE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833793",
            "telephone_number": "480-831-0600",
            "fax_number": "480-820-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S RURAL RD",
            "address_2": "SUITE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833793",
            "telephone_number": "480-831-0600",
            "fax_number": "480-820-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKERT",
        "first_name": "PENNY",
        "credential": "P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony R Burgan, MD
• Richard A Burgmeier, MD
• Lawrence Paul Burk Sr., LPC
• Stacey Ann Burk, M.S. CCC-SLP
• Victoria Dynda Burke, RN, CPNP
• Robert Stephen Burkhart
• Joshua Edwinson Burnett
• Dennis J Burns, ED.D.
• Monica Jill Burns, PA
• Nicole Burns

• Medical Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.

Verify at the official NPI Registry.