Individual provider Active NPI

Emily Burnham, NP

  • Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1821547290
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
350278 Issued in NY
Practice address
4 Feathers Dr
Plattsburgh, NY 12901-6461
Phone
(518) 324-7246
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 350278 NY Primary

Addresses

Primary practice location

4 Feathers Dr
Plattsburgh, NY 12901-6461

Mailing address

4 Feathers Dr
Plattsburgh, NY 12901-6461
Phone (518) 324-5261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230126001551 NY Practitioner - Nurse Practitioner 5496126690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adirondack Interventional Physiatry PCGroup PAC ID 1254308463, 7 clinicians

Practice addresses (Care Compare)

4 Feathers Dr
Platsburgh, NY 12901-6461
Phone (518) 324-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
90
Improvement activities
40
Cost
62.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Interventional Physiatry PC CurrentSince Dec 29, 2022 Accepting new patients
Surgical Pain Center of the Adirondacks, LLC PastSince Dec 13, 2022 Accepting new patients
Champlain Toxicology Lab, LLC PastSince Sep 15, 2019 Accepting new patients

Locations

85 Plaza Blvd
#102
Plattsburgh, NY 12901
Phone (518) 324-7246

32 Veterans Ln
Ste 2
Plattsburgh, NY 12901
Phone (518) 324-1698

4 Feathers Dr
Plattsburgh, NY 12901
Phone (518) 324-5261

Organizations & group practices 3

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 7

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1821547290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FEATHERS DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016461",
            "telephone_number": "518-324-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FEATHERS DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016461",
            "telephone_number": "518-324-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.