Active NPI
Pamela Ann Burgio, APRN
- Nurse Practitioner
- Sparks, NV
National Provider Identifier
1982665915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN00340
- Practice address
- 1525 Los Altos Pkwy
Sparks, NV 89436-6692 - Phone
- (775) 982-5437
- Fax
- (775) 982-3900
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN00340 | NV | Primary |
Addresses
Primary practice location
1525 Los Altos Pkwy
Sparks, NV 89436-6692
Mailing address
1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262
Other practice location 1
21 Locust St
Reno, NV 89502-1316
Phone (775) 982-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11934101 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130219000553 | NV | Order and Referring Only - Nurse Practitioner | 7618971904 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN00340 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Past | Accepting new patients | |
| Renown Regional Medical Center | Past | Accepting new patients | |
| Community Care Services LLC | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- pburgio2235@direct.renown.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Reno, NV
- NPI 1497226823
-
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1982088274
Nurse Practitioner
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1982665915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # MCM14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 LOS ALTOS PKWY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894366692",
"telephone_number": "775-982-5437",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [
{
"address_1": "21 Locust St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021316",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGIO",
"first_name": "PAMELA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN00340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11934101",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.