Individual provider Active NPI

Alexa L Burley, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Easton, MD
National Provider Identifier
1851905491
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R225890 Issued in MD
Practice address
29466 Pintail Dr Ste 4
Easton, MD 21601-9324
Phone
(410) 429-1078
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 225890 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R225890 MD Primary

Addresses

Primary practice location

29466 Pintail Dr Ste 4
Easton, MD 21601-9324

Mailing address

8168 Elliott Rd # 1010
Easton, MD 21601-7110
Phone (410) 429-1078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20201109002374 MD Practitioner - Nurse Practitioner 0749690444 Reassigns benefits to 2 organizations
I20240819000853 DC Practitioner - Nurse Practitioner 0749690444 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
Channel Marker IncGroup PAC ID 0143475509, 5 clinicians

Practice addresses (Care Compare)

8865 Glebe Park Dr
Unit 1
Easton, MD 21601-7003
Phone (410) 822-4619

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
225890MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Channel Marker, Inc. CurrentSince Jan 14, 2022 Accepting new patients
Mending Minds Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Nov 10, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 25, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 9, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 9, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

300 Byrn St
Cambridge, MD 21613
Phone (410) 228-5511

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

8865 Glebe Park Dr
Unit 1
Easton, MD 21601
Phone (410) 822-4611

8168 Elliott Rd
Ste 1010
Easton, MD 21601
Phone (410) 429-1078

29466 Pintail Dr
Ste 4
Easton, MD 21601
Phone (410) 429-1078

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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 3

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1851905491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8168 ELLIOTT RD # 1010",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017110",
            "telephone_number": "410-429-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR STE 4",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019324",
            "telephone_number": "410-429-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "ALEXA",
        "middle_name": "L",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "225890",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R225890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.