Patricia K Burdick, PA-C
Individual provider Active NPI Medical Physician Assistant · Bemidji, MN
NPI 1922026699 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1922026699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 9296 (MN)
- Practice address
- 1705 Anne St NW # 5
Bemidji, MN 56601-6151 - Phone
- (218) 333-5000
- Fax
- (218) 759-4766
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health of Northern Minnesota
Practice addresses (Care Compare)
1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5522
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
Hospital & facility affiliations
- Sanford Bemidji Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20110111000769 | MN | Practitioner - Physician Assistant | 0648469320 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9296 | MN | Yes |
Addresses
Primary practice location
1705 Anne St NW # 5
Bemidji, MN 56601-6151
Mailing address
1705 Anne St NW # 5
Bemidji, MN 56601-6151
Phone (218) 333-5000
Other providers in Bemidji, MN
- Jacia Lynn Andrews Bruns
- Robin Leach Buchanan
- Daneane Rae Budreau
- Lauren Marie Buie
- Stephanie A Bumgardner
- McKenzi Karen Burmeister
- Shawna Marie Burnham
- Olivia Erin Caccia
- Benjamin Brandon Patrick Cahill
- Calm Minds Mental Health Services LLC
All providers in Bemidji, MN · Medical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. 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.