Mark David Burns, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Ruston, LA
NPI 1558034033 · NPPES record last updated Nov 4, 2022
Key facts
- NPI
- 1558034033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 221221 (LA)
- Practice address
- 411 E Vaughn Ave Ste 104
Ruston, LA 71270-5975 - Phone
- (318) 254-2453
- NPI assigned
- Jul 29, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Urgent Care, LLC
Practice addresses (Care Compare)
5314 Airline Dr
Bossier City, LA 71111-6711
Phone (318) 678-5272
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20220901000407 | LA | Practitioner - Nurse Practitioner | 1254715725 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221221 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Ruston LLC | Current |
Accepting new patients | |
| Coastal Urgent Care, LLC | Current |
Accepting new patients | |
| Hulin Urgent Care Services LLC | Current |
Accepting new patients | |
| CLHG-Ruston LLC | Current | Accepting new patients | |
| CLHG-Ruston LLC | Current |
Accepting new patients | |
| Hulin Urgent Care Services LLC | Current |
Accepting new patients |
Locations (25 of 32)
6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781
2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413
5314 Airline Dr
Bossier City, LA 71111
Phone (318) 678-5272
8021 E Texas St
Bossier City, LA 71111
Phone (225) 706-3033
8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520
1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159
965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681
1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503
3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166
203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401
3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001
160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412
863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175
3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008
1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664
4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106
1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166
1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515
300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501
1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806
58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703
1316 The Blvd
Rayne, LA 70578
Phone (337) 399-0067
1200 Celebrity Dr
Ruston, LA 71270
Phone (318) 232-1599
411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 221221 | LA | Yes |
Addresses
Primary practice location
411 E Vaughn Ave Ste 104
Ruston, LA 71270-5975
Mailing address
2512 Cedar Creek Dr
Ruston, LA 71270-2502
Phone (859) 227-9126
Other providers in Ruston, LA
- Buddy Drivers LLC
- Bonnie Lejeune Buller
- Stephanie Bundle
- David Michael Burkhalter
- Jillian Lea Burns
- Beau Michael Burton
- Greene Butler
- Kerry Wayne Byrnes
- Jose Manuel Calles III
- Jennifer Ann Calvert
All providers in Ruston, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2022. 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.