Andrew Burbine, FNP-C
Individual provider Active NPI Nurse Practitioner · Whitefish, MT
NPI 1508550765 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1508550765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NUR-APRN-LIC-216108 (MT)
- Practice address
- 1111 Baker Ave
Whitefish, MT 59937-2901 - Phone
- (406) 862-2515
- NPI assigned
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glacier Medical Associates
Practice addresses (Care Compare)
1111 Baker Ave
Whitefish, MT 59937-2901
Phone (406) 862-2515
Hospital & facility affiliations
- Logan Health - Whitefish
- Logan Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230804001025 | MT | Practitioner - Nurse Practitioner | 2264893387 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-216108 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacier Medical Associates | Current |
Accepting new patients |
Locations
1111 Baker Ave
Uppr
Whitefish, MT 59937
Phone (406) 407-7990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NUR-APRN-LIC-216108 | MT | Yes |
Addresses
Primary practice location
1111 Baker Ave
Whitefish, MT 59937-2901
Mailing address
27 Rick Oshay Way
Whitefish, MT 59937-8537
Phone (406) 240-6671
Other providers in Whitefish, MT
- Casey Anne Brua
- John Edward Brus
- Mariko Bryan
- BTTF Medical, PC
- Eva Buker
- Madison Q Burnham
- Robert Torrance Cale Jr.
- Philip Lee Cardan
- Michael D Carey
- Kenneth Ray Carpenter
All providers in Whitefish, MT · Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.