Individual provider Active NPI

Ginia Y Burdick, N.P.

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1669459814
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0004152-NP Issued in CO
Practice address
7680 Goddard St Ste 212
Colorado Springs, CO 80920-8240
Phone
(719) 800-1098
Fax
(719) 372-8307
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0004152-NP CO Primary

Addresses

Primary practice location

7680 Goddard St Ste 212
Colorado Springs, CO 80920-8240

Mailing address

7680 Goddard St Ste 212
Colorado Springs, CO 80920-8240
Phone (719) 800-1098

Other identifiers 1

IdentifierTypeStateIssuer
84288345MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 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
I20040128000946 CO Practitioner - Nurse Practitioner 8628971710 Reassigns benefits to 1 organization
O20260414003161 CO Part B Supplier - Clinic/Group Practice 1557837911 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0004152-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Burdick Medical Services, LLC CurrentSince Jan 28, 2024 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients

Locations

7680 Goddard St
Ste 212
Colorado Springs, CO 80920
Phone (719) 800-1098

7680 Goddard St
Ste 214
Colorado Springs, CO 80920
Phone (720) 500-2008

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1669459814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7680 GODDARD ST STE 212",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208240",
            "telephone_number": "719-800-1098",
            "fax_number": "719-372-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 GODDARD ST STE 212",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208240",
            "telephone_number": "719-800-1098",
            "fax_number": "719-372-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "GINIA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0004152-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84288345",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.