Individual provider Active NPI

Christine Elizabeth Burke, PA

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1982031910
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
079216 Issued in IA
Practice address
1031 Office Park Rd Ste 2
West Des Moines, IA 50265-2582
Phone
(515) 329-6800
NPI assigned
Oct 4, 2013
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5578 AZ
Physician Assistant 363A00000X 079216 IA Primary
Surgical Physician Assistant 363AS0400X 5578 AZ

Addresses

Primary practice location

1031 Office Park Rd Ste 2
West Des Moines, IA 50265-2582

Mailing address

1031 Office Park Rd Ste 2
West Des Moines, IA 50265-2582
Phone (575) 329-6800

Other practice location 1

1410 SW Tradition Dr Ste 110
Ankeny, IA 50023-9188
Phone (515) 875-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20151013001083 IA Practitioner - Physician Assistant 9739319443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5578AZMDPhysical Therapist
079216IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC Past Accepting new patients
Weight Loss & Wellness Center of Iowa, PLLC PastSince Feb 1, 2025 Accepting new patients
Central Iowa Hospital Corporation Physician Assistant Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1982031910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 OFFICE PARK RD STE 2",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652582",
            "telephone_number": "575-329-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 OFFICE PARK RD STE 2",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652582",
            "telephone_number": "515-329-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 SW Tradition Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500239188",
            "country_code": "US",
            "telephone_number": "515-875-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5578",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "079216",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.