Carly Nicole Burke, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11019658 Issued in FL

Practice address

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442

Phone

(407) 426-4800

Fax

(407) 426-4820

NPI assigned

May 12, 2022

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health in Motion Wellness LLCGroup PAC ID 1759790140, 2 clinicians

House Call M.D.'S L.L.CGroup PAC ID 5496033839, 12 clinicians

Kopa LLCGroup PAC ID 5193774461, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Apex Home Healthcare Home health agency, Ormond Beach, FL, CCN 107593
• Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health in Motion Wellness, LLC

  • Medical Specialty Clinic/Center
  • Debary, FL
  • NPI 1508443490
  Medicare reassignment Care Compare group NPD
• House Call M.D.'S L.L.C.

  • Family Medicine Physician
  • Maitland, FL
  • NPI 1275955312
  Medicare reassignment Care Compare group NPD
• Kopa LLC

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1417021114
  Medicare reassignment Care Compare group NPD
• Coastal Integrative Healthcare Inc

  • Nurse Practitioner
  • Edgewater, FL
  • NPI 1093126203
  Medicare reassignment NPD
• Coastal Integrative Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Palm Coast, FL
  • NPI 1477161073
  NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Bradenton, FL
  • NPI 1508973231
  NPD (past)
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962
  NPD (past)

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

• Altercare LLC

  dba Trilogy Home Healthcare

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1871529347
  Care Compare affiliation
• BGR Acquisition, LLC

  dba Apex Home Health Care

  • Home Health Agency
  • Ormond Beach, FL
  • NPI 1780708172
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1871239723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "407-426-4800",
            "fax_number": "407-426-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "407-426-4800",
            "fax_number": "407-426-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 N Spring Garden Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327203106",
            "country_code": "US",
            "telephone_number": "386-943-9446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CARLY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Gonzalez Bullman, PSY.D
• Shilpy Bunce, PA-C
• Princess Burch
• Sarah Burgos, LMHC
• Madeleen Y Buritica, PA-C, MSPAS
• Jessica Burkett, ARNP
• Lovell Carl March Burrell, PMHNP-BC, MD, MSN
• Jeffrey Burrington, CRNA
• Jennifer Burton, LMHC
• Annie Cabrera

• Family Nurse Practitioner in Maitland, FL
• Providers in Maitland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.