Jennifer Burky, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

104662 Issued in WV

Practice address

15 Mott St
Harman, WV 26270

Phone

(304) 227-4134

Fax

(855) 332-1388

NPI assigned

Jan 2, 2020

Sex

Female

Sole proprietor

No

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.

• Pendleton Community Care Inc

  • Clinical Medical Laboratory
  • Harman, WV
  • NPI 1437401643

  WV

  Medicare reassignment Care Compare group NPD
• Pendleton Community Care, Inc.

  • Clinical Medical Laboratory
  • Franklin, WV
  • NPI 1265634059

  WV

  Medicare reassignment Care Compare group NPD
• Pendleton Community Care Inc

  • Federally Qualified Health Center (FQHC)
  • Brandywine, WV
  • NPI 1912314667
  Care Compare group NPD
• Pendleton Community Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Riverton, WV
  • NPI 1417931379
  Care Compare group NPD
• Pendleton Community Care Inc

  • Federally Qualified Health Center (FQHC)
  • Franklin, WV
  • NPI 1417936535
  Care Compare group NPD (past)
• Pendleton Community Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harman, WV
  • NPI 1427307222
  Care Compare group NPD (past)
• Pendleton Community Care Inc

  • Federally Qualified Health Center (FQHC)
  • Franklin, WV
  • NPI 1205243961
  Care Compare group
• Pendleton Community Care Inc

  • Federally Qualified Health Center (FQHC)
  • Circleville, WV
  • NPI 1386051035
  Care Compare group
• Pendleton Community Care Inc

  • Federally Qualified Health Center (FQHC)
  • Franklin, WV
  • NPI 1932516697
  Care Compare group

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

• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806

  Hospital

  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Pendleton Community Care Inc 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Davis Medical Center Hospital, Elkins, WV, CCN 510030
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.burky.1@6719.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2023.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1801435359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOTT ST",
            "city": "HARMAN",
            "state": "WV",
            "postal_code": "26270",
            "telephone_number": "304-227-4134",
            "fax_number": "855-332-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOTT ST",
            "city": "HARMAN",
            "state": "WV",
            "postal_code": "26270",
            "telephone_number": "304-227-4134",
            "fax_number": "855-332-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKY",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "77628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dawn Bennett
• Lynda Black
• Tabitha Cook
• Amy Gail Cooper
• Terri Copeland
• Cynthia Huffman
• Mamie Johnson

• All providers in Harman, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.

Verify at the official NPI Registry.