Individual provider Active NPI

Chad Burns

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1619414331
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017185 Issued in PA
Practice address
3002 W 11TH St
Erie, PA 16505-3904
Phone
(814) 779-0122
NPI assigned
Jan 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 SP017185 PA Primary

Addresses

Primary practice location

3002 W 11TH St
Erie, PA 16505-3904

Mailing address

100 Peach St Ste 200
Erie, PA 16507-1423
Phone (814) 779-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171026002787 PA Practitioner - Nurse Practitioner 8628354750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

514 Pellis Rd
Greensburg, PA 15601-4593
Phone (724) 858-4662

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113
  • Lecom Health Corry Memorial Hospital Hospital, Corry, PA, CCN 391308

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017185PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jul 3, 2023 Accepting new patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Apr 9, 2025 Accepting new patients

Locations

3109 Fairway Dr
Altoona, PA 16602
Phone (814) 696-8886

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

701 Boyce Rd
Bridgeville, PA 15017
Phone (412) 220-2336

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

100 Peach St
Ste 200
Erie, PA 16507
Phone (814) 456-7733

240 W 11th St
Ste 103
Erie, PA 16501
Phone (814) 790-5111

660 Pellis Rd
Ste 102
Greensburg, PA 15601
Phone (412) 858-7088

514 Pellis Rd
Greensburg, PA 15601
Phone (724) 858-4662

850 Clairton Blvd
Ste 3300
Pittsburgh, PA 15236
Phone (412) 532-1209

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

120 Regent Ct
Ste 200
State College, PA 16801
Phone (814) 414-4434

315 S Allen St
Ste 325A
State College, PA 16801
Phone (814) 285-3163

101 Trich Dr
Ste 4
Washington, PA 15301
Phone (724) 503-4431

119 Vip Dr
Wexford, PA 15090
Phone (412) 533-2202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
  • Direct secure messaging: chad.burns.1@11878.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1619414331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-779-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 W 11TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053904",
            "telephone_number": "814-779-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.