Krista Burchill, M
Individual provider Active NPI Family Medicine Physician · Caribou, ME
NPI 1962470872 · NPPES record last updated Mar 1, 2013
Key facts
- NPI
- 1962470872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 014744 (ME)
- Practice address
- 74 Access Hwy
Caribou, ME 04736-3807 - Phone
- (207) 498-2356
- Fax
- (207) 492-6260
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pines Health Services
Practice addresses (Care Compare)
163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-6921
74 Access Hwy
Caribou, ME 04736-3807
Phone (207) 498-2350
PO Box
Suite 40
Caribou, ME 04736
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Valley Home Health Services
- Northern Light Home Care & Hospice
- Cary Medical Center
- Northern Light a R Gould Hospital
- Caribou Rehab and Nursing Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050624000584 | ME | Practitioner - Family Practice | 6305881897 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014744 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pines Health Services | Family Medicine | Current |
Accepting new patients |
| Pines Health Services | Family Medicine | Current |
Accepting new patients |
Locations
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227
74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350
Interoperability endpoints
- kburchill376990@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 014744 | ME | Yes |
Addresses
Primary practice location
74 Access Hwy
Caribou, ME 04736-3807
Mailing address
PO Box 40
Caribou, ME 04736-0040
Phone (207) 498-2359
Other providers in Caribou, ME
- Merry Bragg
- Richard L Bragg
- William B Brandenberger
- Brent Hixon
- Alisa Brewer
- Martha A Cade
- Rodolphe Camy
- Vicki J. Canales
- Candie Sampson
- Caribou Eyecare, P.a.
All providers in Caribou, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2013. 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.