Individual provider Active NPI

Donnetta Burgess, APRN, CNP

  • Nurse Practitioner
  • Urbana, IL
National Provider Identifier
1730786161
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209021365 Issued in IL
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.

View all 28

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Incorporated 1,592 clinicians
Hospital and Medical Foundation of Paris Inc 123 clinicians

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 Hospital, Urbana, IL, CCN 140091
  • Paris Community Hospital Hospital, Paris, IL, CCN 141320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
209021365ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital CurrentSince Feb 4, 2026 Accepting new patients
Carle West Physician Group Inc CurrentSince Apr 14, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Dec 7, 2020 Accepting new patients
Crawford Hospital District CurrentSince May 3, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jan 14, 2023 Accepting new patients
Crawford Hospital District CurrentSince May 3, 2021 Accepting new patients
Crawford Hospital District Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jan 14, 2023 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

  • Direct secure messaging: donetta.burgess.2@11356.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209021365 IL Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.