Individual provider Active NPI

Mary Catherine Burkhart-Gordon, ARNP

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1821169590
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APN.0103531-C-NP Issued in CO
Practice address
4105 Briargate Pkwy Ste 205
Colorado Springs, CO 80920-3484
Phone
(719) 886-6704
Fax
(877) 550-2140
NPI assigned
Nov 13, 2006
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 207906 OK
Nurse Practitioner 363L00000X AP4675 AZ
Nurse Practitioner 363L00000X C-APN.0103531-C-NP CO Primary

Addresses

Primary practice location

4105 Briargate Pkwy Ste 205
Colorado Springs, CO 80920-3484

Mailing address

2451 E Baseline Rd
Gilbert, AZ 85234-2471
Phone (480) 494-2770

Other practice location 1

1701 Renaissance Blvd
Edmond, OK 73013-3086
Phone (405) 844-4978

Other identifiers 1

IdentifierTypeStateIssuer
757385MedicaidAZ

Other names 1

  • Mary C. Burkhart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913003444 OK Practitioner - Nurse Practitioner 0547260317 Reassigns benefits to 1 organization
I20250324000245 CO Practitioner - Nurse Practitioner 0547260317 Reassigns benefits to 1 organization

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
Summit Rheumatology and Arthritis -Colorado PLLCGroup PAC ID 7810419934, 4 clinicians

Practice addresses (Care Compare)

4105 Briargate Pkwy
Suite 205
Colorado Springs, CO 80920-3484
Phone (719) 886-6704

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.12 of 100Reported as group
Quality
64.14
Promoting interoperability
75
Improvement activities
40
Cost
70.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4675AZMDNurse Practitioner
C-APN.0103531-C-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Arthritis Center, P.C. CurrentSince Aug 1, 2022 Accepting new patients
Summit Rheumatology and Arthritis -Colorado PLLC CurrentSince Feb 4, 2025 Accepting new patients
Kansas City Cancer Center, LLC Nurse Practitioner Past Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients

Locations

2451 E Baseline Rd
Ste 425
Gilbert, AZ 85234
Phone (480) 494-2770

4105 Briargate Pkwy
Ste 205
Colorado Springs, CO 80920
Phone (480) 494-2770

1701 Renaissance Blvd
Edmond, OK 73013
Phone (405) 341-7473

1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978

1705 Renaissance Blvd
Edmond, OK 73013
Phone (405) 844-3800

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 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1821169590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-494-2770",
            "fax_number": "480-494-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203484",
            "telephone_number": "719-886-6704",
            "fax_number": "877-550-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Renaissance Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133086",
            "country_code": "US",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-0562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHART-GORDON",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "207906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4675",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0103531-C-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757385",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BURKHART",
            "middle_name": "C.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.