Andrew Burnett, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Grand Forks, ND
NPI 1740170414 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1740170414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1066454 (TX)
- Practice address
- 3674 S Washinton St
Grand Forks, ND 58201-5766 - Phone
- (701) 205-3000
- Fax
- (701) 732-2501
- NPI assigned
- Jul 5, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Peterson Medical Clinics LLC
Yukon-Kuskokwim Health Corporation
Practice addresses (Care Compare)
13117 Marnia St
Clint, TX 79836-2084
Phone (701) 205-3000
205 E Benson Blvd
Suite 401
Anchorage, AK 99503-4019
Phone (701) 205-3000
3674 S Washington St
Grand Forks, ND 58201-5766
Phone (701) 205-3000
519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000
700 Chief Eddie Hoffman Hwy
Suite 528
Bethel, AK 99559-3427
Phone (907) 545-6928
Hospital & facility affiliations
- Norton Sound Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in ND, MN, TX, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251206000423 | ND | Practitioner - Nurse Practitioner | 1850884859 | Reassigns benefits to 1 organization |
| I20260122001229 | MN | Practitioner - Nurse Practitioner | 1850884859 | Reassigns benefits to 1 organization |
| I20260213004077 | TX | Practitioner - Nurse Practitioner | 1850884859 | Reassigns benefits to 2 organizations |
| I20260220003223 | AK | Practitioner - Nurse Practitioner | 1850884859 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13761 | MN | MD | Physician Assistant |
| 1066454 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yukon Kuskokwim Health Corporation | Current |
Accepting new patients | |
| Peterson Medical Clinics, LLC | Current |
Accepting new patients | |
| Norton Sound Health Corporation | Current |
Accepting new patients | |
| Yukon Kuskokwim Health Corporation | Current |
Accepting new patients | |
| Norton Sound Health Corporation | Current |
Accepting new patients | |
| Norton Sound Health Corporation | Current |
Accepting new patients |
Locations
205 E Benson Blvd
Ste 401
Anchorage, AK 99503
519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700
4501 15th Ave SW
Ste 105
Fargo, ND 58103
3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1066454 | TX | Yes |
Addresses
Primary practice location
3674 S Washinton St
Grand Forks, ND 58201-5766
Mailing address
PO Box 5210
Grand Forks, ND 58206-5210
Phone (701) 205-3000
Other providers in Grand Forks, ND
- Alicia Bullinger
- Michayla Ann Burckhard
- Kristie Lea Burke
- McKenzie Burke
- Alexandrer Burlachko
- Christina Marie Burns
- Darlene Burns
- Elizabeth A. Burns
- Amanda Joy Burris
- Emily Bush
All providers in Grand Forks, ND · Psychiatric/Mental Health Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.