NPIMap

Individual provider Active NPI

Carolyn Rose Burnham, PA-C

  • Medical Physician Assistant
  • Springfield, MA
National Provider Identifier
1790527349
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
299 Carew St Ste 234
Springfield, MA 01104-2368
Phone
(413) 787-2575
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7131 CT
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

299 Carew St Ste 234
Springfield, MA 01104-2368

Mailing address

98 Shaker Rd
East Longmeadow, MA 01028-2731

Other practice location 1

98 Shaker Rd
East Longmeadow, MA 01028-2731
Phone (413) 798-0301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240827000213 MA Practitioner - Physician Assistant 2264971985 Reassigns benefits to 1 organization
I20260128002323 CT Practitioner - Physician Assistant 2264971985 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Primary Care and Weight Management LLCGroup PAC ID 3577821875, 12 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

299 Carew St
Suite 234
Springfield, MA 01104-2368
Phone (413) 787-2575

326 Washington St
Inpatien Psych
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital CurrentSince Feb 1, 2026 Accepting new patients
Hartford Hospital CurrentSince Feb 1, 2026 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2026 Accepting new patients
Hartford Hospital CurrentSince Feb 1, 2026 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2026 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2026 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2026 Accepting new patients
William W Backus Hospital CurrentSince Feb 1, 2026 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Organizations & group practices 10

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.

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1790527349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SHAKER RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 234",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042368",
            "telephone_number": "413-787-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Shaker Rd",
            "address_purpose": "LOCATION",
            "city": "East Longmeadow",
            "state": "MA",
            "postal_code": "010282731",
            "country_code": "US",
            "telephone_number": "413-798-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "CAROLYN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "7131",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.