Samuel Tucker Burns, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

62705 Issued in MN

Practice address

50 Centracare Dr
Long Prairie, MN 56347-2100

Phone

(320) 732-2131

Fax

(320) 732-6913

NPI assigned

Apr 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centracare Health System - Long PrairieGroup PAC ID 3870524598, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare - Long Prairie Hospital Hospital, Long Prairie, MN, CCN 241326
• Centracare Health System - Melrose Hospital Hospital, Melrose, MN, CCN 241330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sburns547474@direct.centracare.com

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.

• Centracare Health System - Long Prairie

  • Critical Access Hospital
  • Long Prairie, MN
  • NPI 1164471678

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Centracare Health System - Melrose

  • Critical Access Hospital
  • Melrose, MN
  • NPI 1720045073

  Single Specialty

  Medicare reassignment NPD
• Centracare Health System - Sauk Centre

  • Rural Health Clinic/Center
  • Sauk Centre, MN
  • NPI 1578813762

  Single Specialty

  Medicare reassignment NPD
• Centracare Health System - Sauk Centre

  • Critical Access Hospital
  • Sauk Centre, MN
  • NPI 1740553932
  Medicare reassignment NPD
• Centracare Health-Paynesville LLC

  • Critical Access Hospital
  • Paynesville, MN
  • NPI 1205269941
  Medicare reassignment NPD
• Centracare Health-Paynesville LLC

  • Rural Health Clinic/Center
  • Paynesville, MN
  • NPI 1629402516

  Single Specialty

  Medicare reassignment NPD
• Centracare Health System - Sauk Centre

  • Medicare Defined Swing Bed Hospital Unit
  • Sauk Centre, MN
  • NPI 1487928743
  NPD

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

• Centracare Health System - Long Prairie

  • Critical Access Hospital
  • Long Prairie, MN
  • NPI 1164471678
  Care Compare affiliation
• Centracare Health System - Melrose

  • Critical Access Hospital
  • Melrose, MN
  • NPI 1720045073
  Care Compare affiliation
• Centracare Health System - Melrose

  • Rural Health Clinic/Center
  • Melrose, MN
  • NPI 1730407586

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1922428077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CENTRACARE DR",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563472100",
            "telephone_number": "320-732-2131",
            "fax_number": "320-732-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CENTRACARE DR",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563472100",
            "telephone_number": "320-732-2131",
            "fax_number": "320-732-6913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Hwy 71 S",
            "address_purpose": "LOCATION",
            "city": "Spirit Lake",
            "state": "IA",
            "postal_code": "513600612",
            "country_code": "US",
            "telephone_number": "712-336-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "72901",
            "country_code": "US",
            "telephone_number": "479-785-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "SAMUEL",
        "middle_name": "TUCKER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2021-04-05",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "62705",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IA",
            "license": "MD-44699",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "62705",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleathea Rae Anderson, PA-C
• Gwen Lea Berry
• Audrey Elissa Brandt Loer, MA, LP
• Centracare Clinic - Long Prairie
• Centracare Health System - Long Prairie
• Centracare Health System - Long Prairie
• Centracare Health System - Long Prairie
• Annie E Christensen, FNP-C

• Family Medicine Physician in Long Prairie, MN
• Providers in Long Prairie, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.