Individual provider Active NPI

Kristina A Burkland, N.P.

  • Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1487802997
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704240468 Issued in MI
Practice address
455 Barclay Cir
Suite D
Rochester Hills, MI 48307-4774
Phone
(248) 852-9596
Fax
(248) 852-9453
NPI assigned
Sep 9, 2008
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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 4704240468 MI Primary

Addresses

Primary practice location

455 Barclay Cir
Suite D
Rochester Hills, MI 48307-4774

Mailing address

455 Barclay Cir
Suite D
Rochester Hills, MI 48307-4774
Phone (248) 852-9596

Other identifiers 1

IdentifierTypeStateIssuer
080F326810OtherMIBLUE CROSS PRACTICE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20081114000585 MI Practitioner - Nurse Practitioner 2769542174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karle Medical Group PCGroup PAC ID 0244271500, 6 clinicians

Practice addresses (Care Compare)

455 Barclay Cir
Suite D
Rochester Hills, MI 48307-4774
Phone (248) 852-9596

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Karle Medical Group, P.C. CurrentSince Jul 1, 2008 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

455 Barclay Cir
Ste D
Rochester Hills, MI 48307
Phone (248) 852-9596

Interoperability endpoints

  • Direct secure messaging: kristinaburkland@kmgpc.allscriptsdirect.net

Organizations & group practices 2

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 4

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1487802997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BARCLAY CIR",
            "address_2": "SUITE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074774",
            "telephone_number": "248-852-9596",
            "fax_number": "248-852-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BARCLAY CIR",
            "address_2": "SUITE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074774",
            "telephone_number": "248-852-9596",
            "fax_number": "248-852-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKLAND",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704240468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRACTICE PIN",
            "identifier": "080F326810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.