Individual provider Active NPI

Linda C Burdett, FNP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1639154677
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2002009459 Issued in MO
Practice address
3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Phone
(417) 220-4480
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 2002009459 MO Primary

Addresses

Primary practice location

3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980

Mailing address

3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Phone (417) 220-4480

Other practice location 1

101 S Main St
Rogersville, MO 65742-9357
Phone (417) 753-9404

Other identifiers 3

IdentifierTypeStateIssuer
1639154677MedicaidMO
425812104MedicaidMO
P00269596OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20051222000049 MO Practitioner - Nurse Practitioner 3173545886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition Inc 95 clinicians

Practice addresses (Care Compare)

101 S Main St
Rogersville, MO 65742-9357
Phone (417) 753-9404

155 Village Dr
Sparta, MO 65753-8104
Phone (417) 634-4203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002009459MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primrose Nephrology, Inc. Current Accepting new patients
Elite Professional Providers, LLC Family CurrentSince Dec 1, 2023 Accepting new patients

Locations

3322 S Campbell Ave
Ste T1
Springfield, MO 65807
Phone (417) 220-4480

2135 E Independence St
Springfield, MO 65804
Phone (305) 482-1494

1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1639154677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 S CAMPBELL AVE STE T-1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074980",
            "telephone_number": "417-220-4480",
            "fax_number": "417-900-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 S CAMPBELL AVE STE T-1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074980",
            "telephone_number": "417-220-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Main St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "MO",
            "postal_code": "657429357",
            "country_code": "US",
            "telephone_number": "417-753-9404",
            "fax_number": "417-753-9137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDETT",
        "first_name": "LINDA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2002009459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639154677",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425812104",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00269596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.