Individual provider Active NPI

Logan Elizabeth Ruth Burg, MSN, FNP-C

  • Registered Nurse
  • Kansas City, MO
National Provider Identifier
1619604329
Registry record updated Oct 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2018003512 Issued in MO
Practice address
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone
(816) 932-2000
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2018003512 MO Primary

Addresses

Primary practice location

4401 Wornall Rd
Kansas City, MO 64111-3220

Mailing address

200 Walnut St Apt 214
Kansas City, MO 64106-1018
Phone (816) 456-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20221213001379 MO Practitioner - Nurse Practitioner 7719356831 Reassigns benefits to 1 organization
I20221213001668 KS Practitioner - Nurse Practitioner 7719356831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080

4400 Broadway Blvd
Kansas City, MO 64111-3342

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

5844 NW Barry Rd
Kansas City, MO 64154-1483

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018003512MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jan 29, 2023 Accepting new patients
Saint Lukes Physician Group II LLC PastSince Jun 30, 2012 Accepting new patients

Locations

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12330 Metcalf Ave
Ste 500B
Overland Park, KS 66213
Phone (816) 932-0288

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

4400 Broadway Blvd
Ste 400
Kansas City, MO 64111
Phone (816) 584-8100

5844 NW Barry Rd
Ste 300
Kansas City, MO 64154
Phone (816) 531-4080

120 NE Saint Lukes Blvd
Fl 3
Lees Summit, MO 64086
Phone (816) 347-4890

120 NE Saint Lukes Blvd
Ste 220
Lees Summit, MO 64086
Phone (816) 347-5800

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: lburg228428@direct.saint-lukes.org

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1619604329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST APT 214",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061018",
            "telephone_number": "816-456-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-932-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURG",
        "first_name": "LOGAN",
        "middle_name": "ELIZABETH RUTH",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2018003512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.