Individual provider Active NPI

Michelle Burks, APRN

  • Nurse Practitioner
  • Blytheville, AR
National Provider Identifier
1669850384
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
227773 Issued in AR
Practice address
1000 E Main St
Blytheville, AR 72315-2531
Phone
(870) 409-7060
NPI assigned
May 14, 2015
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 227773 AR Primary

Addresses

Primary practice location

1000 E Main St
Blytheville, AR 72315-2531

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

1505 Woodlawn Ave Ste A
Dyersburg, TN 38024-3134
Phone (731) 478-6064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 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
I20240502003419 TN Practitioner - Nurse Practitioner 4082054325 Reassigns benefits to 1 organization
I20240704000177 AR Practitioner - Nurse Practitioner 4082054325 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

Practice addresses (Care Compare)

1000 E Main St
Blytheville, AR 72315-2531
Phone (870) 409-7060

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

806 E Main St
Flippin, AR 72634-8668
Phone (870) 219-7706

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Jun 7, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jun 7, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients
Phoenix Health and Wellness CurrentSince Mar 13, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations

1000 E Main St
Blytheville, AR 72315
Phone (870) 409-7060

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1505 Woodlawn Ave
Ste A
Dyersburg, TN 38024
Phone (731) 287-1500

Interoperability endpoints

  • Direct secure messaging: michelle.burks.1@15024.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1669850384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152531",
            "telephone_number": "870-409-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Woodlawn Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380243134",
            "country_code": "US",
            "telephone_number": "731-478-6064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "227773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.