Active NPI
Donnetta Burgess, APRN, CNP
- Nurse Practitioner
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209021365
- Practice address
- 509 W University Ave
Urbana, IL 61801-1645 - Phone
- (217) 383-6636
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
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.
-
- Rural Health Clinic/Center
- Chrisman, IL
- NPI 1447314653
-
- Clinic/Center
- Paris, IL
- NPI 1629280367
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1235452996
-
- Ambulance
- Paris, IL
- NPI 1093879892
-
- Durable Medical Equipment & Medical Supplies
- Marshall, IL
- NPI 1184409633
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Paris, IL
- NPI 1366179251
-
- Durable Medical Equipment & Medical Supplies
- Paris, IL
- NPI 1396520995
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle Health Care IncorporatedHospital and Medical Foundation of Paris Inc
Practice addresses (Care Compare)
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
Hospital & facility affiliations
- Carle Foundation Hospital
- Paris Community Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201221001426 | IL | Practitioner - Nurse Practitioner | 2264844067 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021365 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
727 E Court St
Paris, IL 61944
Phone (217) 465-4141
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
509 W University Ave
Urbana, IL 61801
Phone (217) 383-3010
Interoperability endpoints
- donetta.burgess.2@11356.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209021365 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
509 W University Ave
Urbana, IL 61801-1645
Mailing address
611 W Park St
Fapc
Urbana, IL 61801
Other practice location 1
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2024.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1730786161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W UNIVERSITY AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618011645",
"telephone_number": "217-383-6636"
}
],
"practiceLocations": [
{
"address_1": "721 E Court St",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "IL",
"postal_code": "619442460",
"country_code": "US",
"telephone_number": "217-465-4141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "DONNETTA",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209021365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.