Individual provider Active NPI

Melissa C Burns, APRN

  • Nurse Practitioner
  • Cumberland, KY
National Provider Identifier
1922516426
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011655 Issued in KY
Practice address
103 Kingdom Come Dr
Cumberland, KY 40823-1590
Phone
(606) 589-5514
Fax
(606) 589-5909
NPI assigned
Jan 18, 2018
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011655 KY Primary

Addresses

Primary practice location

103 Kingdom Come Dr
Cumberland, KY 40823-1590

Mailing address

PO Box 959
Hazard, KY 41702-0959
Phone (606) 589-5514

Other names 1

  • Melissa Cornett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226001680 KY Practitioner - Nurse Practitioner 7416218946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Associates of Cumberland, IncGroup PAC ID 0345403424, 8 clinicians

Practice addresses (Care Compare)

103 Kingdom Come Dr
Cumberland, KY 40823-1590
Phone (606) 589-5514

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare Associates of Cumberland, Inc CurrentSince Feb 5, 2018 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Jan 19, 2023 Accepting new patients
Jackson Physician Corp PastSince Jan 19, 2023 Accepting new patients

Locations

103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514

1908 N Main St
Ste 120
Hazard, KY 41701
Phone 60643926622038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1922516426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020959",
            "telephone_number": "606-589-5514",
            "fax_number": "606-435-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 KINGDOM COME DR",
            "city": "CUMBERLAND",
            "state": "KY",
            "postal_code": "408231590",
            "telephone_number": "606-589-5514",
            "fax_number": "606-589-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MELISSA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CORNETT",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, KY

Sources for this page

Verify at the official NPI Registry.