Individual provider Active NPI

Dorothy Deette Burke, ARNP/BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1497883169
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024176087 Issued in VA
Practice address
957 Echo LN
Kokomo, IN 46902-2602
Phone
(931) 308-2658
Fax
(765) 450-8060
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN12062 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176087 VA Primary
Nurse Practitioner 363L00000X 71016469A IN

Addresses

Primary practice location

957 Echo LN
Kokomo, IN 46902-2602

Mailing address

957 Echo LN
Kokomo, IN 46902-2602
Phone (931) 308-2658

Other practice location 1

3909 New Vision Dr
Fort Wayne, IN 46845-1725
Phone (260) 373-8000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dburke677608@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ, VA, IL, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20070829000857 TN Practitioner - Nurse Practitioner 4587757042
I20140903001953 AZ Practitioner - Nurse Practitioner 4587757042 Reassigns benefits to 1 organization
I20181005000729 VA Practitioner - Nurse Practitioner 4587757042 Reassigns benefits to 1 organization
I20230327002200 IL Practitioner - Nurse Practitioner 4587757042 Reassigns benefits to 2 organizations
I20251212000762 IN Practitioner - Nurse Practitioner 4587757042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Stepping Stones of Rockford, IncGroup PAC ID 9739283748, 3 clinicians

Practice addresses (Care Compare)

3909 New Vision Dr
Fort Wayne, IN 46845-1725

512 N Professional Way
Kendallville, IN 46755-2927
Phone (260) 347-8556

706 N Main St
Rockford, IL 61103-6904
Phone (815) 963-0683

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71016469AINMDNurse Practitioner
15441TNMDFamily Nurse Practitioner
APN12062TNMDPsychiatric/Mental Health Nurse Practitioner
0024176087VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Behavioral Health CurrentSince Feb 1, 2020 Accepting new patients
Stepping Stones of Rockford, Inc CurrentSince Feb 19, 2025 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. CurrentSince May 1, 2018 Accepting new patients
Parkview Health System Inc Nurse Practitioner Current Accepting new patients
Parkview Health System, Inc. Nurse Practitioner CurrentSince Oct 4, 2025 Accepting new patients
Rosecrance Inc CurrentSince Mar 13, 2023 Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince May 1, 2018 Accepting new patients
Rosecrance Inc CurrentSince Mar 13, 2023 Accepting new patients
Rosecrance Inc Current Accepting new patients
Helping Associates Inc CurrentSince Sep 1, 2014 Accepting new patients
Fort Health Medical Group PA Psychiatric/Mental Health Past Accepting new patients

Locations

590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

1901 N Trekell Rd
Ste A
Casa Grande, AZ 85122
Phone (520) 836-1029

1901 N Trekell Rd
Casa Grande, AZ 85122
Phone (520) 836-1029

706 N Main St
Rockford, IL 61103

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

3909 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-8000

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936

Interoperability endpoints

  • Direct secure messaging: dorothy.burke.p1@direct.d19csb.nextgenshare.com
  • Direct secure messaging: dorothy.burke.p1@direct.cbridges.nextgenshare.com
  • Direct secure messaging: dburke677608@direct.parkviewexchange.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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1497883169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 ECHO LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022602",
            "telephone_number": "931-308-2658",
            "fax_number": "765-450-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 ECHO LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022602",
            "telephone_number": "931-308-2658",
            "fax_number": "765-450-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 New Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451725",
            "country_code": "US",
            "telephone_number": "260-373-8000",
            "fax_number": "260-458-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DOROTHY",
        "middle_name": "DEETTE",
        "name_prefix": "Ms.",
        "credential": "ARNP/BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN12062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176087",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016469A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dburke677608@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "3909 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3909 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3909 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.