Individual provider Active NPI

Priscilla Burgmayer, CNM

  • Advanced Practice Midwife
  • New Lenox, IL
National Provider Identifier
1881049948
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM3054 Issued in IL
Practice address
841 Buckboard Dr
New Lenox, IL 60451-1337
Phone
(815) 269-4344
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM3054 IL Primary
Registered Nurse 163W00000X RN225460L PA

Addresses

Primary practice location

841 Buckboard Dr
New Lenox, IL 60451-1337

Mailing address

841 Buckboard Dr
New Lenox, IL 60451-1337
Phone (815) 269-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN225460LPAMDRegistered Nurse
CNM3054ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Midwivescare, LLC Advanced Practice Midwife Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1881049948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BUCKBOARD DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511337",
            "telephone_number": "815-269-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BUCKBOARD DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511337",
            "telephone_number": "815-269-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGMAYER",
        "first_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "CNM3054",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN225460L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.