Active NPI
Mary Elizabeth Burkett, CFNP
- Nurse Practitioner
- Saint Helen, MI
National Provider Identifier
1528067568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704110149
- Practice address
- 1360 N Saint Helen Rd
Saint Helen, MI 48656-9521 - Phone
- (989) 389-4944
- Fax
- (989) 389-1401
- NPI assigned
- Jul 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704110149 | MI | Primary |
Addresses
Primary practice location
1360 N Saint Helen Rd
Saint Helen, MI 48656-9521
Mailing address
1360 N Saint Helen Rd
P O Box 39
Saint Helen, MI 48656-9521
Phone (989) 389-4944
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4836749 | Medicaid | MI | |
| 4836730 | Medicaid | MI | |
| 5008773520 | Other | MI | BCBS PIN |
| 700G210140 | Other | MI | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704110149 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Office of John Vassallo MD PLLC | Past | Accepting new patients | |
| Livingston Internal Medicine, PC | Nurse Practitioner | Past | Accepting new patients |
| Munson Healthcare Grayling | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Howell, MI
- NPI 1487712121
-
- Rural Health Clinic/Center
- Prudenville, MI
- NPI 1144626052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1528067568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 N SAINT HELEN RD",
"address_2": "P O BOX 39",
"city": "SAINT HELEN",
"state": "MI",
"postal_code": "486569521",
"telephone_number": "989-389-4944",
"fax_number": "989-389-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 N SAINT HELEN RD",
"city": "SAINT HELEN",
"state": "MI",
"postal_code": "486569521",
"telephone_number": "989-389-4944",
"fax_number": "989-389-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKETT",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704110149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4836749",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4836730",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "5008773520",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "700G210140",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Helen, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.