Individual provider Active NPI

Kristin Burns, FNP

  • Family Nurse Practitioner
  • Little Falls, NY
National Provider Identifier
1548515323
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337298 Issued in NY
Practice address
500 E Main St
Little Falls, NY 13365-1444
Phone
(315) 823-1113
Fax
(315) 823-1295
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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 337298 NY Primary

Addresses

Primary practice location

500 E Main St
Little Falls, NY 13365-1444

Mailing address

500 E Main St
Little Falls, NY 13365-1444
Phone (315) 823-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150812008522 NY Practitioner - Nurse Practitioner 2163670704 Reassigns benefits to 2 organizations
I20260626000479 MA Practitioner - Nurse Practitioner 2163670704

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
Edward M Kennedy Community Health Center IncGroup PAC ID 3476512740, shared by 5 NPIs, 65 clinicians

Practice addresses (Care Compare)

354 Waverley St
Framingham, MA 01702-7079
Phone (508) 370-0113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
337298NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Health, Inc. CurrentSince Oct 20, 2014 Accepting new patients
Mosaic Health, Inc. CurrentSince Oct 20, 2014 Accepting new patients

Locations

55 Central Plz
Ste B
Ilion, NY 13357
Phone (315) 444-1900

1 S Washington St
Ste 300
Rochester, NY 14614
Phone (585) 325-2280

2 Rubin Dr
Rushville, NY 14544
Phone (585) 554-4400

Interoperability endpoints

  • Direct secure messaging: kristin.burns.d1.p1@direct.emkchc.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1548515323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651444",
            "telephone_number": "315-823-1113",
            "fax_number": "315-823-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651444",
            "telephone_number": "315-823-1113",
            "fax_number": "315-823-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KRISTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NY

Sources for this page

Verify at the official NPI Registry.