Individual provider Active NPI

Michele E Burnes, PA-C

  • Physician Assistant
  • Urbana, IA
National Provider Identifier
1760467757
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001211 Issued in IA
Practice address
1002 W Main St
Urbana, IA 52345-9099
Phone
(319) 443-5000
NPI assigned
Dec 13, 2005
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001211 IA Primary

Addresses

Primary practice location

1002 W Main St
Urbana, IA 52345-9099

Mailing address

502 N 9TH Ave
Vinton, IA 52349-2254

Other identifiers 2

IdentifierTypeStateIssuer
17543OtherIAER GROUP #
55965OtherIAVFMC GROUP #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mburnes@vghinc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20081002000662 IA Practitioner - Physician Assistant 6002984150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Gay Hospital IncGroup PAC ID 1759290331, 19 clinicians

Practice addresses (Care Compare)

502 N 9TH Ave
Vinton, IA 52349-2254
Phone (319) 472-6200

504 N 9TH Ave
Vinton Family Medical Clinic
Vinton, IA 52349-2254
Phone (319) 472-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Gay Hospital, Inc. CurrentSince Apr 25, 2013 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Virginia Gay Hospital, Inc CurrentSince Apr 25, 2013 Accepting new patients
Virginia Gay Hospital, Inc Current Accepting new patients

Locations

401 Cardinal Ave
Atkins, IA 52206
Phone (319) 446-6231

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

1002 W Main St
Urbana, IA 52345
Phone (319) 443-4337

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

504 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6300

Interoperability endpoints

  • Direct secure messaging: mburnes687218@direct.unitypoint.org

Organizations & group practices 4

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 5

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1760467757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523492254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "URBANA",
            "state": "IA",
            "postal_code": "523459099",
            "telephone_number": "319-443-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNES",
        "first_name": "MICHELE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER GROUP #",
            "identifier": "17543",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VFMC GROUP #",
            "identifier": "55965",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mburnes@vghinc.com",
            "affiliation": "N",
            "endpointDescription": "Urbana Family Medical Clinic Direct Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1002 W Main St",
            "city": "Urbana",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523459099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Urbana, IA

Sources for this page

Verify at the official NPI Registry.