Selina Andrea Burt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P0014 Issued in TX

Practice address

103 Fram Street
Petersburg, AK 99833

Phone

(907) 772-4291

Fax

(907) 772-3085

NPI assigned

Jun 23, 2010

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

The Petersburg Medical CenterGroup PAC ID 5395730626, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Petersburg Medical Center Home Home health agency, Petersburg, AK, CCN 027009
• Petersburg Medical Center Hospital, Petersburg, AK, CCN 021304
• Petersburg Medical Center Nursing home, CCN 02Z304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1437122843

  Family Medicine

  Medicare reassignment Care Compare group NPD
• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1790845204
  NPD
• The Petersburg Medical Center

  • Skilled Nursing Facility
  • Petersburg, AK
  • NPI 1104984954
  NPD (past)

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

• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1437122843
  Care Compare affiliation
• The Petersburg Medical Center

  • Home Health Agency
  • Petersburg, AK
  • NPI 1790844033
  Care Compare affiliation
• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1790845204

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1942511159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998330589",
            "telephone_number": "907-772-4291",
            "fax_number": "907-772-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FRAM STREET",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "99833",
            "telephone_number": "907-772-4291",
            "fax_number": "907-772-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769046829",
            "country_code": "US",
            "telephone_number": "325-245-4291",
            "fax_number": "325-245-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "SELINA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mae Baker
• Stephanie Anita Banda, LCSW
• Philip Gaither Beardslee, DMD
• Brandy Boggs
• Yvette C Boggs, R.N.
• Stacey Reynolds Dahl, APRN, FNP-C
• Tiffany Eckles
• Adriene Kim Fedde, MD
• Margaret D Fleming, MS,RD,LD
• Peggy Ann Floro, BA

• Family Medicine Physician in Petersburg, AK
• Providers in Petersburg, AK by specialty
• Family Medicine Physician in Alaska

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