Individual provider Active NPI

Diana N Burke, APN/FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1558043893
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023020237 Issued in IL
Practice address
901 S Austin Blvd
Chicago, IL 60644-5311
Phone
(773) 287-5959
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 2023020237 IL Primary

Addresses

Primary practice location

901 S Austin Blvd
Chicago, IL 60644-5311

Mailing address

PO Box 735376
Chicago, IL 60673-5376
Phone (184) 771-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002894 IL Practitioner - Nurse Practitioner 9234575267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst Illinois PCGroup PAC ID 5496992034, 12 clinicians

Practice addresses (Care Compare)

901 S Austin Blvd
Chicago, IL 60644-5311
Phone 84723561303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023020237ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karefirst Illinois PC CurrentSince Jan 3, 2024 Accepting new patients

Locations

901 S Austin Blvd
Chicago, IL 60644
Phone (773) 287-5959

6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131

Organizations & group practices 1

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1558043893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735376",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735376",
            "telephone_number": "184-771-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S AUSTIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445311",
            "telephone_number": "773-287-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DIANA",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "APN/FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2023020237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.