Jacqueline Burke, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Dalton, PA
NPI 1902780901 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1902780901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- SP033462 (PA)
- Practice address
- 27 S Waterford Rd
Dalton, PA 18414-7752 - Phone
- (610) 420-8832
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vital Healthcare Solutions
Silver Willow Wellness PC
Practice addresses (Care Compare)
2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (585) 233-2817
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20251107003960 | PA | Practitioner - Nurse Practitioner | 3072003946 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP033462 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Valley Alcohol and Drug Services Inc | Current |
Accepting new patients | |
| Luminara Integrative Psychiatry | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
480 Pierce St
Ste 103
Kingston, PA 18704
Phone (570) 820-8888
437 N Main St
Wilkes Barre, PA 18705
Phone (570) 820-8888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP033462 | PA | Yes |
Addresses
Primary practice location
27 S Waterford Rd
Dalton, PA 18414-7752
Mailing address
27 S Waterford Rd
Dalton, PA 18414-7752
Phone (610) 420-8832
Other providers in Dalton, PA
- Abington Counseling LLC
- Lauryn E. Beermann
- Jessica Chaya
- Sarah Chylak
- Jill A D'Antoni
- Dalpharm Inc
- Dalton Fire Company Incorporated
All providers in Dalton, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. 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.