Individual provider Active NPI

Donna Lidel Burley, MS, FNP-BC

  • Family Nurse Practitioner
  • Buckeye, WV
National Provider Identifier
1487901765
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62078 Issued in WV
Practice address
150 Duncan Road
Buckeye, WV 24924-9037
Phone
(304) 799-4700
Fax
(304) 799-2276
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 62078 WV Primary

Addresses

Primary practice location

150 Duncan Road
Buckeye, WV 24924-9037

Mailing address

150 Duncan Road
Buckeye, WV 24924-9037
Phone (304) 799-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20130712000082 WV Practitioner - Nurse Practitioner 8527208644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocahontas Memorial HospitalGroup PAC ID 9234100645, 15 clinicians

Practice addresses (Care Compare)

150 Duncan Rd
Buckeye, WV 24924-9037
Phone (304) 799-7400

57 Duncan Rd
Buckeye, WV 24924-9044
Phone (304) 799-7400

Hospital & facility affiliations

  • Home Care Plus, Incorporated Home health agency, Lewisburg, WV, CCN 517051
  • Hospice of Barbour County Hospice, Elkins, WV, CCN 511514
  • Pocahontas Memorial Hospital Hospital, Buckeye, WV, CCN 511314
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pocahontas Memorial Hospital Current Accepting new patients
Pocahontas Memorial Hospital CurrentSince Mar 12, 2013 Accepting new patients

Locations

150 Duncan Rd
Buckeye, WV 24924
Phone (304) 799-7400

Interoperability endpoints

  • Direct secure messaging: donna.lidelburley@pmhrhc.eclinicaldirectplus.com
  • Direct secure messaging: dburley@yourcarecommunity.org

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 and National Provider Directory roles.

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1487901765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DUNCAN ROAD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249037",
            "telephone_number": "304-799-4700",
            "fax_number": "304-799-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DUNCAN ROAD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249037",
            "telephone_number": "304-799-4700",
            "fax_number": "304-799-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDEL BURLEY",
        "first_name": "DONNA",
        "credential": "MS, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "62078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, WV

Sources for this page

Verify at the official NPI Registry.