Kandice Burk, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Kingfisher, OK
NPI 1902371925 · NPPES record last updated Aug 29, 2019
Key facts
- NPI
- 1902371925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R111764 (OK)
- Practice address
- 1000 Hospital Cir
Kingfisher, OK 73750-5002 - Phone
- (405) 375-6374
- NPI assigned
- Oct 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Oklahoma Communities
Practice addresses (Care Compare)
1000 Hospital Cir
Kingfisher, OK 73750-5002
Phone (405) 375-6356
Hospital & facility affiliations
- Mercy Hospital Kingfisher, Inc
- Mercy Hospital Oklahoma City, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181112002152 | OK | Practitioner - Nurse Practitioner | 6901150887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R111764 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current |
Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Past | Accepting new patients |
Locations
1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- kburk251285@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R111764 | OK | Yes |
Addresses
Primary practice location
1000 Hospital Cir
Kingfisher, OK 73750-5002
Mailing address
1000 Hospital Cir
Kingfisher, OK 73750-5002
Phone (405) 375-6374
Other names
- Kandice Reed
Other providers in Kingfisher, OK
- Maesyn Alyxandria Barton
- Samantha Ashlynn Bates
- Mary Frances Bonilla
- Benjamin James Bowman
- Nathan Kelly Brown
- Melody C Byrd
- Kristyn Cagle
- Cardiac and Pulmonary Rehabilitation Clinic LLC
- Diane Castellanos
- Amy R Cavner
All providers in Kingfisher, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.